1. What signs and symptoms suggest intestinal obstruction in the neonate? Signs and symptoms vary according to the location of the obstruction. Proximal intestinal obstruction leads to early bilious vomiting, typically with minimal distention. Neonates with distal intestinal obstruction often present after the first day of life with distention and bilious emesis. Bilious emesis in infants and c...

We report a case of a full-term infant girl who presented to us with diarrhea and vomiting for 3 days at the age of 30 days. At presentation, she was dehydrated. The abdomen was unremarkable; hernial sites were normal. WBC at admission was 5000/mm3. Intravenous fluids and antibiotics were started. Three days later, she developed fever (38.10 C), bilious vomiting and bleeding per rectum. Abdomen...

Abstract Age is a key factor in the differential diagnosis of gastrointestinal (GI) pathology children. Imaging crucial range pediatric GI disorders. In term neonates, congenital anomalies tract causing obstruction are at forefront: atresia, intestinal malrotation with or without midgut volvulus, Hirschsprung’s disease, meconium plug syndrome, and ileus. premature neonate, necrotizing enterocol...

Jejuno-ileal atresia occurs as a result of an intra-uterine ischemic insult to the midgut. Type III b (apple peel) or (Christmas tree) deformity consists of proximal jejunal atresia, absence of the superior mesenteric artery, agenesis of the dorsal mesentery, a significant loss of intestinal length and a large mesenteric defect [1]. After the surgery, whether short bowel syndrome is occurred or...

DESCRIPTION A previously well and independent 85-year-old woman presented to A&E with a 1-day history of sudden onset, cramping lower abdominal pain and vomiting. There were no other symptoms. The patient had a laparoscopic cholecystectomy 20 years ago but no other surgical history. On examination the patient was peripherally shutdown and abdominal examination revealed generalised peritonitis; ...

Surgical emergencies can be missed easily in children, who are not always able to volunteer relevant information. Awareness of the entities discussed in this review might help the EP uncover subtle clues to early diagnoses that might not be initially apparent. Ill-appearing children who have abdominal pain and vomiting should be considered to have ischemic or necrotic bowel until proven otherwi...