8-Day-old male infant with bilious emesis and hematochezia

Katelyn Adams, Deeksha Borkar, Rahul Kaila

Research output: Contribution to journalArticlepeer-review


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.

Original languageEnglish (US)
Pages (from-to)325.e1-325.e2
JournalAmerican Journal of Emergency Medicine
Early online dateOct 9 2021
StatePublished - Apr 2022

Bibliographical note

Publisher Copyright:
© 2021


  • Bilious emesis
  • Goat milk intolerance
  • Hematochezia

PubMed: MeSH publication types

  • Case Reports


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