BACKGROUND/PURPOSE Intestinal obstruction is one of the most common reasons for admission to a neonatal surgical unit and frequently is manifest by bilious vomiting. Not all cases of neonatal bilious vomiting are caused by intestinal obstruction. This study aimed to investigate the outcome of neonates with bilious vomiting. METHODS A prospective audit was undertaken of all neonates with a his...

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 methods al...

Pleural effusions in patients with chronic liver disease are common and usually are of little consequence. Bilious pleural effusion can occur following percutaneous biopsy or cholangiography procedures if the pleura is traversed. This report emphasizes the role of biliary tract obstruction in the development of a bilious effusion and the importance of biliary tract decompression in treatment. W...

Malignant pleural effusions are common complications in patients with primary or metastatic cancer to the lungs. In this article, we describe a unique case of a patient with history of diffuse pulmonary metastases from gallbladder adenocarcinoma who acutely developed a bilious pleural effusion following endoscopic retrograde cholangiopancreatography. We believe the bilious pleural effusion (cho...

A 56-year-old woman who underwent living liver transplantation for primary biliary cirrhosis seven years previously presented with symptoms of repetitive cholangitis. She had been suffering from a wet cough for the past three months and had also been treated for bacterial pneumonia, which tended to easily flare up. When referred to our hospital, computed tomography showed consolidation with an ...

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...