An unusual case of jaundice in a 2-month-old boy

Pediatr Emerg Care. 2011 Sep;27(9):860-2. doi: 10.1097/PEC.0b013e31822c284c.

Abstract

A 2-month-old previously healthy infant presented to the emergency department with a complaint of projectile vomiting for 4 days and jaundice for the last 2 days. An ultrasound of the abdomen showed no sign of pyloric stenosis. All results of laboratory workups related to gastrointestinal cause for vomiting and jaundice were normal. The patient was admitted for further gastrointestinal workup. Finally, a computed tomographic scan of the head showed active and chronic subdural bilateral hematomas with multiple calvarial fractures consistent with nonaccidental trauma.

Publication types

  • Case Reports

MeSH terms

  • Cephalometry
  • Emergencies
  • Hematoma, Subdural, Acute / complications
  • Hematoma, Subdural, Acute / diagnosis
  • Hematoma, Subdural, Acute / diagnostic imaging
  • Hematoma, Subdural, Chronic / complications
  • Hematoma, Subdural, Chronic / diagnosis*
  • Hematoma, Subdural, Chronic / diagnostic imaging
  • Hematoma, Subdural, Intracranial / complications
  • Hematoma, Subdural, Intracranial / diagnosis*
  • Hematoma, Subdural, Intracranial / diagnostic imaging
  • Humans
  • Hyperbilirubinemia / complications
  • Infant
  • Jaundice / etiology*
  • Male
  • Retinal Hemorrhage / diagnosis
  • Retinal Hemorrhage / etiology
  • Shaken Baby Syndrome / complications
  • Shaken Baby Syndrome / diagnosis*
  • Skull Fractures / complications
  • Skull Fractures / diagnostic imaging
  • Tomography, X-Ray Computed
  • Ultrasonography
  • Vomiting / etiology