#CBCLIPS Episode 42: Newborn Girl with Bilious Emesis

#CBCLIPS Creator and Editor: Sherif Emil, M.D., C.M.; McGill University Health Centre, Montreal, Canada.
Dr. Emil is a Senior Editor of The Hendren Project and Editor-in-Chief of the Abdominal Wall Defects Section.


1. Case Scenario

  • Female fetus is followed for a dilated, hyperperistaltic bowel loop persistent until birth.
  • Films at 4 & 10 hours of life are shown below.
  • Baby has a normal exam, but she vomits bile after first feeding.
  • Contrast enema and UGI performed simultaneously are read as normal.

What do you do next?

 

 

 

 


2. Treatment Strategy

See Jeujunal Case Discussion from S-R-P Patient Case Discussions with The Montreal Children's Hospital

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