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Bilious vomiting in a 9-month-old infant
1Department of Emergency Medicine, Orlando Regional Medical Center, FL 32806-2093, USA.
Insights
Bilious vomiting in infants is a critical surgical emergency. This case highlights intussusception as a potential cause, even without classic symptoms, emphasizing prompt diagnosis for pediatric surgical emergencies.
Area of Science:
- Pediatric Surgery
- Gastroenterology
Background:
- Infantile bilious vomiting necessitates a thorough differential diagnosis.
- Prompt evaluation is crucial for pediatric surgical emergencies.
Observation:
- A 9-month-old male presented with bilious vomiting.
- The patient was diagnosed with intussusception.
Findings:
- Intussusception can present solely with bilious vomiting.
- Clinical manifestations of intussusception may deviate from typical presentations.
Implications:
- Bilious emesis in infants should be treated as a surgical emergency until ruled out.
- Early recognition of atypical intussusception presentations is vital for timely surgical intervention.
Abstract:
A case of bilious vomiting in a 9-month-old male is reported. The differential diagnosis of infantile bilious vomiting is reviewed, and appropriate diagnostic studies are discussed. The child was found to have intussusception. The common manifestation of this pediatric surgical emergency may vary considerably from classic descriptions. Bilious emesis in infants must be considered a surgical emergency until proven otherwise; intussusception may manifest as bilious vomiting only.