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Bilious vomiting in a 9-month-old infant

D F Brennan1

  • 1Department of Emergency Medicine, Orlando Regional Medical Center, FL 32806-2093, USA.

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
|July 1, 1997
PubMed
Summary
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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.

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