An Unusual Presentation of Congenital Hypothyroidism in a Newborn: Transient Pseudo-Obstruction

Author(s): Sirin Mneimneh

Congenital hypothyroidism is mostly asymptomatic at birth. It is usually detected by targeted neonatal screening for CH that is performed after birth. Nonetheless, there are reports of rare and vague presentations of CH, as protracted icterus, abdominal distension, skin mottling, hypoactivity, poor feeding, muscle hypotonia, huge posterior fontanel, difficulty in breathing, hypothermia, peripheral cyanosis, abdominal distension, vomiting, and edema [1]. We report a preterm neonate that presented with abdominal distension with feeding intolerance, secondary to gastrointestinal hypomotility caused by congenital hypothyroidism.