18 day old male with vomiting What color was it? Non-bilious emesis - PowerPoint PPT Presentation

May 22, 2023 •39 likes •239 views

18 day old male with vomiting What color was it? Non-bilious emesis Ampulla of Vater Bilious emesis Surgical causes of GI obstruction in a newborn Non-bilious emesis GERD Pyloric stenosis Duodenal atresia Annular pancreas Esophageal

18 day old male with vomiting
What color was it? Non-bilious emesis Ampulla of Vater Bilious emesis
Surgical causes of GI obstruction in a newborn Non-bilious emesis GERD Pyloric stenosis Duodenal atresia Annular pancreas Esophageal atresia Bilious emesis Malrotation with midgut volvulus Intussusception Jejunoileal atresia Meconium plug syndrome Meconium ileus Hirschprung’s disease Imperforate anus
Remember Bilious emesis in a newborn is malrotation with midgut volvulus until proven otherwise!
Abdominal XR
Upper GI
Ultrasound: Whirlpool Sign
CT Scan
CT Scan
Normal Midgut Rotation
Normally Anchored SB Mesentery
Narrow vascular pedicle allows for midgut volvulus
The Root of Midgut Volvulus Point-based root of mesentery Broad-based normal root in malrotation of mesentery
Steps of Ladd’s Procedure
Results of Ladd’s Procedure

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