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Updated: Aug 17, 2026

State of the Art Cranial Ultrasound Imaging in Neonates
Published on: February 2, 2015
[Diagnostic image (99). An infant with feeding problems]
R M van Elburg1, C M F Kneepkens
1Afd. Neonatologie, VU Medisch Centrum, Postbus 7057, 1007 MB Amsterdam. rm.vanelburg@vumc.nl
Insights
A premature infant experienced vomiting and poor growth due to a large hiatal hernia and intestinal malrotation. Surgical intervention is often necessary for these congenital conditions.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Neonatology
Background:
- Premature infants are susceptible to congenital gastrointestinal anomalies.
- Vomiting and failure to thrive are critical indicators of serious underlying conditions in neonates.
- Hiatal hernias and intestinal malrotation can significantly impair infant feeding and growth.
Observation:
- A 2-month-old, prematurely-born male infant presented with persistent vomiting.
- The infant exhibited failure to thrive, indicating inadequate growth and development.
- Clinical presentation suggested a complex gastrointestinal anomaly.
Findings:
- Diagnostic imaging revealed a large hiatal hernia.
- The infant was also diagnosed with intestinal malrotation.
- These two conditions co-existed, contributing to the infant's symptoms.
Implications:
- The combination of hiatal hernia and malrotation requires prompt surgical intervention.
- Accurate diagnosis is essential for appropriate management of neonatal surgical emergencies.
- Understanding these combined anomalies can improve surgical planning and patient outcomes.
Abstract:
A 2-month-old, prematurely-born boy suffered from vomiting and failure to thrive due to the combination of a large hiatal hernia and malrotation of the intestine.
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