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A 3-Month-Old With Failure to Thrive and Persistent Vomiting.

Julia A Heneghan1, Jonathan Moses2, Karen Lidsky3

  • 1Divisions of General Pediatrics and Adolescent Medicine.

Pediatrics
|October 19, 2017
PubMed
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A 3-month-old infant presented with failure to thrive and vomiting, showing signs of severe malnutrition. Diagnostic imaging suggested a distal bowel obstruction, leading to a surprising surgical pathology diagnosis.

Area of Science:

  • Pediatric Gastroenterology
  • Neonatal Surgery

Background:

  • Failure to thrive (FTT) and persistent vomiting are critical indicators of serious underlying pathology in infants.
  • Distal bowel obstruction presents a significant diagnostic challenge in neonates and young infants.

Observation:

  • A 3-month-old male infant exhibited severe cachexia, muscle wasting, and abdominal distension upon admission.
  • Nasogastric feeding trial exacerbated the infant's clinical condition, prompting intensive care unit (ICU) transfer.
  • Diagnostic imaging raised suspicion for a distal bowel obstruction.

Findings:

  • Surgical pathology revealed an unexpected diagnosis, distinct from typical causes of neonatal bowel obstruction.
  • The specific pathological findings are detailed in the case report, offering insight into rare pediatric conditions.

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Implications:

  • This case highlights the importance of considering rare diagnoses in infants with failure to thrive and obstructive symptoms.
  • Understanding this surprising pathology can improve diagnostic accuracy and treatment strategies for similar pediatric cases.
  • The findings contribute to the literature on uncommon causes of intestinal obstruction in early infancy.