The authors describe a 3-day-old newborn admitted with signs of intestinal
obstruction caused by solitary intestinal fibromatosis (SIF). This is a ver
y rare lesion, which has an excellent prognosis. The differential diagnosis
of bilious vomiting in a neonate caused by other than tumorous processes i
n the neonatal intestine is extensive. Probably this kind of lesion is more
frequent in the neonatal period than thought until now but underdiagnosed
because of the difficulty of diagnosis. Therapy of choice is wide local exc
ision, and prognosis is excellent. Copyright (C) 2000 by W.B. Saunders Comp
any.