Intestinal Obstruction in Neonates

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Presentation

  • bile-stained vomiting
  • +/- meconium
  • abdominal distension

Causes

Small bowel

  • duodenal atresia / stenosis
    • 1/3 have Down's syndrome
  • jejunal / ileal stenosis
  • malrotation with volvulus
  • meconium ileus
    • almost all have cystic fibrosis
  • meconium plug

Large Bowel

  • Hirschsprung's disease
  • Rectal Atresia
 

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