Case history

Case history

A 5-week-old, full-term male infant presents with progressive post-feeding emesis for the past 2 weeks. Initially he was diagnosed as having formula intolerance; formula type was changed several times without relief. Subsequently, he was thought to have gastro-oesophageal reflux. The parents continue to report non-bilious post-feeding emesis, which has become progressively forceful and projectile.

Other presentations

Symptoms may be atypical and less exaggerated in premature infants and ultrasound criteria used for term infants may not apply.[5][6][7][8][9][10][11] Other rare presentations include early presentation with bilious emesis, and an association with familial hyperlipidaemia and pancreatitis.[12][13]

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