Failure to thrive case study one
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Akash Daswaney, M.B.B.S[2]
Overview
A 3 month old child with a normal birth history presented with failure to thrive, poor feeding and abdominal distension. Using an ultrasound and subsequent gastrointestinal study, the patient was eventually diagnosed with congenital short bowel syndrome, a common cause of failure to thrive. [1]
Patient History
- A 3 month old girl presented with failure to thrive and abdominal distension.
- Despite a normal pregnancy and birth history, the child appeared severely malnourished (less than 1st percentile for weight and less than 10th percentile for height).
Diagnosis
- On examination, the abdomen was soft and mildly distended with visible gut loops.
- An ultrasound revealed a duodenum-jejunal junction which was lower than it’s normal position.
- By moving the transducer along the course of the dilated loop (thereby, tracing the intestine from the duodenum to the colon) a dramatically short small intestine was revealed.
- Eventually a gastrointestinal study revealed a distended abdomen and intestine, malrotation and a short length of dilated small bowel.
- The patient was diagnosed with congenital short gut syndrome, a common cause of failure to thrive.
Significance
- The study underlined the utility of an ultrasound in diagnosing failure to thrive.
- By catching it early, early treatment, prevention of complications and genetic counselling was facilitated.
References
- ↑ Ma Y, Jiang Q, Wang Z (2019). "Clues From Ultrasound for an Infant With Failure to Thrive". Gastroenterology. 157 (5): e12–e13. doi:10.1053/j.gastro.2019.06.015. PMID 31589836.