Infant rumination syndrome: report of a case and review of the literature
D. R. Fleisher
The infant rumination syndrome is an uncommon disorder difficult to
differentiate from commoner conditions causing vomiting and weight loss.
Its validity has recently been questioned. Its importance is heightened by
the availability of newer diagnostic and operative procedures that might be
misapplied. An 8-month-old male infant had been regurgitating for two
months with increasing inanition. Results of diagnostic tests suggested
pylorospasm or gastric pseudo-obstruction syndrome. Medical management
failed. A therapeutic trial of special nursing eight hours a day resulted
in rapid rehydration, weight gain, and avoidance of surgery. This case
exemplifies each of the ten characteristics of the infant rumination
syndrome.
