Neonatal intestinal obstruction Latest Topics

1/11/2026

Sun, 01 Nov 2026 12:58:11 +0000

[size=6]A one-day old, 36-week gestation infant is admitted to the neonatal intensive care unit (NICU) with bilious vomiting and abdominal distention. On exam, the infant is fussy but in no acute distress and the abdomen is soft but distended. Abdominal films suggest a proximal jejunal obstruction consistent with a jejunal atresia. At laparotomy, a proximal jejunal atresia with significant dilation is found. Distally there is loss of small bowel consistent with an in utero volvulus and a string of sausage (i.e. type IV) segments of atretic small bowel with each of five segments of bowel measuring between three and eight cm in length. There is a three cm segment of terminal ileum and the entire colon. The next best step in management of this patient with complicated intestinal atresia is

A close the abdomen and return to the NICU.

B resect atretic small bowel segments and perform end jejunostomy.

C resect small bowel segments, taper jejunum and perform jejunoileostomy.

D jejunostomy/mucus fistula and thread atretic segments over a stent.

E resect all dilated proximal jejunum with primary anastamosis to atretic segments.

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31/5/2026

Sun, 31 May 2026 07:34:12 +0000

[size=6]You receive a call from a referring neonatologist regarding a full term newborn with bilious emesis and an abnormal abdominal radiograph. She would like advice about doing further diagnostic studies at her institution. You suggest immediate transfer as the incidence of surgical pathology in term neonates transferred for bilious vomiting is approximately

a 26 to 50%.

b 51 to 75%.

c greater than 75%.

d zero to 25%.[/size]

Neonatal abdominal distension

Fri, 18 Sep 2020 06:31:46 +0000

[size=20px]A 25-week gestation premature infant is nine days old and weighs 750 g. She has progressive distention. Radiographs show multiple dilated loops of bowel. Her mother received magnesium sulfate for preterm labor. The next best step in management of this premie with distension is

A abdominal ultrasound.

B water soluble contrast enema.

C suction rectal biopsy.

D sweat chloride test.

E upper gastrointestinal contrast study.[/size]

First one with correct answer with justification win.

Cbclips # 5

Mon, 20 Dec 2021 21:29:11 +0000

[size=20px]The films below are of two term neonates with bilious emesis. Both babies are hemodynamically stable, have soft non-tender, non-distended abdomens, and normal blood gases. Which baby requires immediate further investigation and possible intervention?

1 or 2 ?

Why?[/size]

CBCLIPS Episode 16

Mon, 20 Dec 2021 20:30:41 +0000

During laparotomy for a 2-day old term male neonate with bowel obstruction and the radiographic images shown, you encounter a very dilated proximal jejunum with the entire distal bowel impacted with small meconium pellets (shown).

How would you manage this?

How often does a meconium obstruction extend to the proximal jejunum?!

CBCLIPS Episode 14

Mon, 20 Dec 2021 20:43:14 +0000

[size=20px]A term baby girl presents on the 2nd day of life with abdominal distention and bilious emesis. No meconium has passed. On examination, the abdomen is distended, but soft and not-tender. There is no mass. A patent anus is found in a normal position. Digital exam encounters resistance above the anal canal. Insertion of a 6-mm Hegar dilator is followed by meconium passage. Plain film and contrast enema are shown.

What would you do next?[/size]

CBCLIPS Episode 21

Mon, 20 Dec 2021 20:06:24 +0000

A 3-day old baby boy born at 28 weeks gestation develops mild abdominal distention.He already passed several normal meconiums. He has no signs of necrotizing enterocolitis on physical examination or laboratory tests. His abdomen is slightly distended, but soft and non-tender. Abdominal films taken 24 hours apart show a single fixed loop. A water-soluble contrast enema shows a normal colon. Films at the end of the study show persistence of the distended loop. All shown in the images below.

How would you treat this patient?

Functional immaturity of the colon

Thu, 27 Jan 2022 16:07:30 +0000

Laparoscopic repair of duodenal atresia, Ladd procedure and meckel diverticulectomy

Fri, 04 Jun 2021 05:06:57 +0000

see video link in second post

Neonatal Bilious Vomiting video lectures

Fri, 28 May 2021 12:25:45 +0000

see video links in second posts

neonatal IO

Mon, 15 Mar 2021 08:08:54 +0000

see in next post

Need not to be bilious!

Mon, 15 Mar 2021 07:21:20 +0000

Neonatal IO algorithm

Tue, 15 Sep 2020 17:30:54 +0000

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Any one want a high quality PDF of this chart, post in this thread and use a personalized picture as an avatar, I will send it to you in a private message

Edit: available without restrictions

Contrast enema in Neonatal Intestinal Obstruction

Tue, 16 Feb 2021 08:14:52 +0000

bilious emesis

Thu, 11 Feb 2021 04:57:56 +0000

Fertility in cystic fibrosis (CF) patients.

Sat, 03 Oct 2020 08:18:45 +0000

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Gastric residual value in IO diagnosis

Sat, 03 Oct 2020 08:14:04 +0000

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