A 20-year-old woman presented to the emergency department with 15 days of nausea and intractable bilious non-bloody emesis. She had undergone corrective surgery for scoliosis 1 month earlier. She reported an inability to tolerate anything except liquids. She complained of diffuse cramping abdominal pain that started 30 minutes after meals. Her pain improved with flexion of her knees to her ches...

The child presented to us on day 2 of life with complaints of bilious vomiting. An abdominal X-ray showed a double-bubble sign and a diagnosis of duodenal atresia was made. Duodenodoudenostomy with a feeding jejunostomy using an infant feeding tube was done. Post operatively, breast milk was accidentally connected to the intravenous cannula instead of the jejunostomy tube on day 5 and the baby ...

A 2-year-old boy was admitted with diagnosis of diabetes debut, with blood glucose of 500 mg% on admission, without ketosis or metabolic acidosis. He also presented bilious vomiting and brownish bloody stools. He was operated with a presumptive diagnosis of acute intestinal obstruction. The final diagnosis was volvulus, secondary to congenital malrotation. After surgery, he normalized blood sug...

Development of infantile hypertrophic pyloric stenosis during postoperative period in EA with TEF is rare. Postoperative vomiting or feeding intolerance in EA is more common which is due to esophageal stricture, gastroesophageal reflux and esophageal dysmotility. A typical case of IHPS also presents with non-bilious projectile vomiting at around 3-4 weeks of life. The diagnosis of infantile hyp...

UNLABELLED Metal bezoars are uncommon foreign bodies (FB) in the gastrointestinal tract (GIT) and comprised of a wide variety of objects. A 17-year-old schizophrenic presented with abdominal pain and distension along with non-bilious vomiting for 2 weeks. Physical examination revealed dullness to percussion in the epigastrium. Plain radiographs revealed objects of metal density contained within...

BACKGROUND Small bowel volvulus caused by a jejunal trichobezoar is an extremely rare and life-threatening emergency in children. CASE CHARACTERISTICS An 8-year-old girl with abdominal pain and persistent bilious vomiting. OBSERVATION The abdominal computed tomography scan showed a solitary intraluminal mass and a whirl sign, suggesting the small bowel volvulus. Emergency laparoscopic explo...

Aim is to discuss diagnostic and therapeutic difficulties in COVID-19 related postoperative outcomes. A 5-year-old boy operated for jejunal atresia neonatal period admitted with recurrent bilious vomiting. The upper GI series revealed dilated jejunum absence of mechanical obstruction. segment was excised anastomosis performed. Later, he developed peritonitis without signs anastomotic leaks. sec...

A 2 years and 9 months old boy attended to a gastroenterology clinic of pediatric hospital for investigation of recurrent and intractable vomiting. He had post prandial, non-projectile, non-bilious emesis since past 2 years. Since the onset of illness, he was carried to many doctors and underwent extensive laboratory investigations. Because all of the science lab and imaging work up for etiolog...

A full-term newborn female presented with non-bilious emesis immediately after feeding and abdominal distension on day one of life neither palpable mass nor electrolyte derangements. The baby was initially admitted to rule out gastrointestinal obstruction versus sepsis as a cause vomiting distension. Initial imaging studies involving an upper (GI) series showed at the level duodenum, but it onl...

We report a case of megacystis-microcolon-intestinal hypoperistalsis syndrome (MMIHS) in a newborn female infant who presented with an abdominal mass, absent bowel sounds, and feeding intolerance with bilious emesis. MMIHS is a rare congenital bowel and bladder defect requiring surgery and chronic total parenteral nutrition in an attempt to sustain life. With few exceptions, it is predominately...