An overview of causes of surgical vomiting in the neonate. This includes malrotation-volvulus, intestinal atresias, necrotising enterocolitis.

1. Straight Up
Surgical causes of vomiting in the neonate
Camille Wu
@camillepaedsurg

6. What colour is bile?
According to:
71% of parents
49% GP
31% Postnatal midwives
24% Neonatal nurses

8. BiliousVomiting
Medical Surgical
(obstruction)
Mechanical
Sepsis
Congenital heart disease
Metabolic
“CPAP Belly”
Unknown
Functional
Intrinsic
Hirschsprung disease
Meconium ileus
Meconium plug
Necrotizing enterocolitis
Extrinsic
Malrotation / volvulus
Congenital Band
Intestinal duplication
Duodenal atresia
Small bowel atresia
Anorectal malformation

13. Normal

21. Day 2

23. What level is the obstruction?
Differential Diagnoses
Of Distal intestinal obstruction
Hirschsprung Disease
Meconium Ileus
Meconium Plug
Small left colon
Ileal atresia
Anorectal Malformation
Intestinal duplication

25. Prematurity
Feeds
Cardiorespiratory stress
Infection

26. Neonatal Abdomen

31. Focal
Multifocal
Diffuse

32. Straight Up
Surgical causes of vomiting in the neonate
Camille Wu
@camillepaedsurg