Author(s): Nasir A. M. Al Jurayyan, Mona M. Al Asmi, Rushaid N. A. Al Jurayyan
Pseudo intestinal obstruction is an unusual initial presentation of congenital hypothyroid-ism. We describe a newborn boy infant who, on the third day of life, developed clinical and radiological evidence of intestinal obstruction. He was initially treated conservatively. Meanwhile, results of neonatal screening suggested congenital hypothyroidism which was confirmed to have permanent primary congenital hypothyroidism, due to thyroid hormone dyshormonogenesis. Replacement therapy with Levothyroxine led to marked improvement.