BACKGROUND Plain radiography and contrast radiologic studies are traditionally the main options in evaluating neonates presenting with bilious vomiting. While ultrasonography (US) is more available, its diagnostic accuracy is in question. OBJECTIVES The purpose of this study is to determine the diagnostic accuracy of US in evaluating these patients with bilious vomiting. PATIENTS AND METHOD...

A 12 month old boy, previously healthy, presented to our Emergency Department (ED) with 7 episodes non bilious vomiting, parents gave history of mild head injury the night before. Clinical examination was unremarkable.

ness which, of late, had been so severe that he had to suspend his professional work. The patient, who was an intelligent and educated man, described his symptoms accurately. He stated that he had been ' bilious ' from his childhood, but his first attack of serious bilious vomiting occurred in 1916. The next severe attack was in 1933, when it continued for nearly ten days. He kept well for some...

A 24-year-old lady presented with bilious expectoration and history suggestive of obstructive jaundice, 16 months following open cholecystectomy. Pleurocentesis was done, followed by intercostal drainage, which drained about 300 mL bilious fluid per day for a month. Her symptoms of obstructive jaundice were relieved. A pleuro-biliary fistula was demonstrated by percutaneous transhepatic cholang...

BACKGROUND Bilious vomiting in the newborn is an urgent condition that frequently requires neonatal and paediatric surgical involvement. Investigations involve abdominal X-ray and contrast imaging in most cases. We aimed to describe the prevalence of surgical intervention in this cohort and assess the reliability of contrast imaging in accurate prediction of underlying condition. METHODS A re...