{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,18]],"date-time":"2025-10-18T00:19:56Z","timestamp":1760746796075,"version":"build-2065373602"},"reference-count":8,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,10,2]]},"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:p>This report describes a term neonate with multiple gastrointestinal issues: non-hypertrophic pyloric stenosis (NHPS)-induced gastric volvulus (GV) and ileal volvulus with atresia due to an omphalomesenteric band. The patient presented with early non-bilious vomiting and abdominal distension. Radiological studies indicated GV, gastric outlet obstruction and ileal atresia. An exploratory laparotomy confirmed terminal ileal atresia with volvulus from the fibrous band and NHPS, but no GV was found during surgery. Treatment involved resecting the terminal ileum, ileocaecal valve and caecum, followed by an ileo-ascending colonic anastomosis and pyloroplasty. Recovery was satisfactory. This case highlights the importance of considering a broad differential diagnosis in neonatal intestinal obstruction and conducting a careful evaluation of radiological findings.<\/jats:p>","DOI":"10.1136\/bcr-2025-268025","type":"journal-article","created":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T11:15:40Z","timestamp":1760699740000},"page":"e268025","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Radiologically suspected gastric volvulus associated with non-hypertrophic pyloric stenosis and omphalomesenteric band-induced ileal volvulus with atresia in a neonate"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2452-8590","authenticated-orcid":false,"given":"Sameer Yaseen","family":"Al-Abdi","sequence":"first","affiliation":[{"name":"Department of Pediatrics\/NICU, Dallah Hospital Al Ahsa, Al Ahsa, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sadak","family":"Abdelrahman","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Dallah Hospital Al Ahsa, Al Ahsa, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emad","family":"Noureldein","sequence":"additional","affiliation":[{"name":"Department of Pediatrics\/NICU, Dallah Hospital Al Ahsa, Al Ahsa, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Abdelmoneim","sequence":"additional","affiliation":[{"name":"Department of Pediatrics\/NICU, Dallah Hospital Al Ahsa, Al Ahsa, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amr","family":"Elnamky","sequence":"additional","affiliation":[{"name":"Department of Pediatrics\/NICU, Dallah Hospital Al Ahsa, Al Ahsa, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karim","family":"Sherif","sequence":"additional","affiliation":[{"name":"Department of Pediatrics\/NICU, Dallah Hospital Al Ahsa, Al Ahsa, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,10,17]]},"reference":[{"key":"2025101704152067000_18.10.e268025.1","doi-asserted-by":"crossref","unstructured":"Al-Salem AH . Atlas of pediatric surgery: principles and treatment. Cham: Springer International Publishing, 2020.","DOI":"10.1007\/978-3-030-29211-9"},{"key":"2025101704152067000_18.10.e268025.2","doi-asserted-by":"crossref","unstructured":"Lima M , Reinberg O . Neonatal surgery contemporary strategies from fetal life to the first year of age: contemporary strategies from fetal life to the first year of age. 1st edn. Switzerland: Springer Nature Switzerland, 2019.","DOI":"10.1007\/978-3-319-93534-8_1"},{"key":"2025101704152067000_18.10.e268025.3","doi-asserted-by":"crossref","first-page":"421","DOI":"10.4103\/jiaps.jiaps_157_22","article-title":"Nonhypertrophic Pyloric Stenosis in a Neonate: A Rare Presentation","volume":"28","author":"Jayakumar","year":"2023","journal-title":"J Indian Assoc Pediatr Surg"},{"key":"2025101704152067000_18.10.e268025.4","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-007-2010-y"},{"key":"2025101704152067000_18.10.e268025.5","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2007-3111"},{"key":"2025101704152067000_18.10.e268025.6","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1007\/s003830050283","article-title":"Ileal atresia associated with an omphalomesenteric duct remnant","volume":"13","author":"Hasegawa","year":"1998","journal-title":"Pediatr Surg Int"},{"key":"2025101704152067000_18.10.e268025.7","doi-asserted-by":"crossref","first-page":"271","DOI":"10.4103\/jiaps.JIAPS_158_20","article-title":"Omphalomesenteric Duct Remnant: A Rare and Unusual Cause of Intestinal Atresia","volume":"26","author":"Kane","year":"2021","journal-title":"J Indian Assoc Pediatr Surg"},{"key":"2025101704152067000_18.10.e268025.8","doi-asserted-by":"crossref","DOI":"10.1148\/rg.220146","article-title":"Assessment of Amniotic Fluid Volume in Pregnancy","volume":"43","author":"Jha","year":"2023","journal-title":"Radiographics"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-268025","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T11:15:45Z","timestamp":1760699745000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-268025"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":8,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2025,10,17]]},"published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1136\/bcr-2025-268025"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-268025","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10]]}}}