Navigating Inconclusive Upper-Gastrointestinal Series in Infantile Bilious Vomiting: A Case Series on Intestinal Malrotation

14 March 2024 : Case report Singapore

Unusual clinical course, Challenging differential diagnosis

Yi Xian Low^1ABCDEF*, Yi Ming Teo^1ABCDEF, Yang Yang Lee^2AD, Yoke Lin Nyo^2AD, Dale Lincoln Loh^2AD, Vidyadhar Padmakar Mali^2ADEF

DOI: 10.12659/AJCR.943056

Am J Case Rep 2024; 25:e943056

Background Case Reports Discussion Conclusions References:

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Table 1. Summary table highlighting key information for each case.

Patients	Diagnostic challenges	Outcomes
• Female child with bilious vomiting on day 1 of life	• UGI showed initial faint opacification and subsequent considerable overlap of the duodenal and proximal jejunal loops, DJ flexure not elucidated
	• UGI showed persistent hold-up of contrast at the proximal duodenum with no opacification of the distal duodenum or small bowel despite repeated repositioning and observation under intermittent fluoroscopy

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