Jejunal web masquerading as intestinal malrotation in a neonate with bilious vomiting: A case report

Abstract

Neonatal bilious vomiting is considered as a pathological sign and warrant urgent medical attention. Upper gastro-intestinal contrast study can be notoriously difficult to diagnose incomplete intestinal rotation, especially when there is partial hold up of the contrast at the duodenum. We report a case of a full term neonate with incomplete jejunal obstruction due to a fenestrated jejunal web, presenting with bilious vomiting and masquerading as intestinal malrotation in the contrast study. We discuss the recent literature and the potential diagnostic difficulty in the diagnosis of jejunal web. In view of the low specificity of radiological imaging study of jejunal web, clinicians should be aware that congenital gastro-intestinal webs are a possible cause of partial gastro-intestinal obstruction in infants and children.

Keywords

• Jejunal web
• Intestinal malrotation
• Bilious vomiting