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

14 March 2024: Articles

Unusual clinical course, Challenging differential diagnosis

Yi Xian Low ^A , Yi Ming Teo ^A* , Yang Yang Lee ^A , Yoke Lin Nyo ^A , Dale Lincoln Loh ^A , Vidyadhar Padmakar Mali ^A

DOI: 10.12659/AJCR.943056

Am J Case Rep 2024; 25:e943056

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