Department of Pediatrics, University of Minnesota Medical School, Minneapolis, MN, United States of America.
Department of Pediatrics, University of Minnesota Medical School, Minneapolis, MN, United States of America.
Am J Emerg Med. 2022 Apr;54:325.e1-325.e2. doi: 10.1016/j.ajem.2021.10.006. Epub 2021 Oct 9.
The differential diagnosis for bilious emesis and hematochezia in newborns is broad and includes structural abnormalities (malrotation with volvulus, atresia, pyloric stenosis, intussusception), infectious colitis, necrotizing enterocolitis, milk protein intolerance, vascular malformations, and other bleeding disorders. Here we report a case of bilious emesis and hematochezia in an 8-day-old male infant who was ultimately found to have goat's milk protein intolerance after an extensive workup ruling out other pathology. There have been limited studies that examine goat's milk protein intolerance in pediatric patients, and to our knowledge, our paper presents the youngest patient presenting with bilious emesis related to goat's milk intake.
新生儿胆汁性呕吐和血便的鉴别诊断范围很广，包括结构异常（肠旋转不良伴扭转、闭锁、幽门狭窄、肠套叠）、感染性结肠炎、坏死性小肠结肠炎、牛奶蛋白不耐受、血管畸形和其他出血性疾病。在这里，我们报告了一例 8 天大的男婴出现胆汁性呕吐和血便的病例，经过广泛的检查排除其他病理后，最终发现该患儿对羊奶蛋白不耐受。目前已有一些研究探讨了儿童羊奶蛋白不耐受，但据我们所知，我们的论文报道了与羊奶摄入相关的胆汁性呕吐的最小年龄患者。
