Vomiting can be the presenting symptom of a variety of disorders, ranging from self-limited diseases to life-threatening diseases. The causes of vomiting vary with age of presentation, and pediatricians should develop the skill to identify serious conditions at the earliest stage based on the age of presentation. Bilious emesis at any age is a sign of intestinal obstruction until proven otherwi...

We report a rare case of incomplete congenital duodenal obstruction (Type 1 duodenal atresia) in association with situs inversus totalis presenting with gastric perforation in a neonate. The infantogram was suggestive of perforation with air under diaphragm along with dextrocardia. On exploration, a pin point perforation at fundus near lesser curvature along with situs inversus was noted. Prima...

A case of a 79-year-old man, status post laparoscopic cholecystectomy with a drainage catheter placed at the gallbladder fossa is presented. The case was complicated postoperatively by abdominal pain and bilious discharge from the drainage catheter. Endoscopic retrograde cholangio-pancreatography demonstrated leakage through the cystic duct stump into the gallbladder fossa. Placement of a cover...

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...

http://dx.doi.org/10.1590/0100-3984.2014.0134 is the most common symptom, usually occurring as a result from inflammation or ileal volvulus. Meckel’s diverticulum rupture is rarely found in neonates, occurring in less than 10% and manifesting at radiography as pneumoperitoneum. In such situations, the differential diagnosis should be made with necrotizing enterocolitis, since this disease is re...

We describe the case of a previously healthy 40- year-old Female with known medical history essential hypertension (HTN). She did not have past Diabetes Mellitus. presents to emergency department sudden onset severe shortness breath that began shortly after non-bilious, non-bloating emesis. also reported low-grade fever, nausea, cough, abdominal pain, pleuritic chest and generalized weakness. w...

A 38-year-old woman with abdominal gunshot injury underwent hepatorrhaphy, gastrorrhaphy, splenectomy, and hemicolectomy for severe liver, gastric, splenic, and colonic injury. On postoperative day 10, Gastroenterology was consulted for evaluation of a bile leak, after bilious drainage was seen in the perihepatic intra-abdominal drain. Abdominal computed tomography scan showed a fluid collectio...

A 2-day-old, term male neonate, weighing 2.1 kg, 1st in birth order was born by normal delivery. He presented to our department with a small fleshy swelling at the base of the umbilicus, bilious vomiting and epigastric fullness. Antenatal ultrasounds were not done. On examination, the baby was hemodynamically stable, pulse rate150/min and respiratory rate-50/min. anicteric and mildly dehydrated...