RT Journal
A1 Gittelman MA, Racadio J, Gonzalez del Rey J
T1 RAdiological case of the month
JF Archives of Pediatrics & Adolescent Medicine
JO Archives of Pediatrics & Adolescent Medicine
YR 1999
FD May 1
VO 153
IS 5
SP 541
OP 541
DO 
UL http://dx.doi.org/
AB 
A 1-MONTH-OLD MALE was brought to the emergency department with a 3-day history of vomiting. The parents stated that the infant had been feeding on a 1:1 ratio of water mixed with formula (Similac with iron; Abbott Laboratories, Abbott Park, Ill) (2.9 J/mL [20 cal/oz]), 120 mL every 4 hours, and he had been gaining weight appropriately. Three days prior to the visit, the child began to regurgitate more frequently than he had in the past. His emesis was nonbilious, nonbloody, and composed mainly of formula. His mother stated that the emesis had become more forceful and frequent during the previous 2 days. He also developed frequent, watery stools that were nonbloody in appearance. The pediatrician had recommended an oral electrolyte maintenance solution (Pedialyte; Abbott Laboratories) in small amounts for 24 hours in response to the symptoms; however, the child continued to have persistent and occasionally projectile vomiting. There were no contacts with ill people and no history of fever, nasal congestion, difficulty breathing, cyanosis, or pain. He was taking no medications or other formulas. His birth history was unremarkable, with a birth weight of 3.3 kg.