Possible Causes for bilious vomiting Small Bowel Obstruction They presented with abdominal pain and bilious vomiting, with no medical or surgical history. [ncbi.nlm.nih.gov] A 45-year-old woman presented to emergency services with severe pain in abdomen and bilious vomiting in the past 2 days, having a history of abdominal hysterectomy 10 years [ncbi.nlm.nih.gov] They usually presented with bilious vomiting (50.0%) and abdominal distention (60.0%), and demonstrated a high rate of early operation (80.0%) and bowel resection (70.0%). [ncbi.nlm.nih.gov] Intestinal Perforation A 4-year-old girl was admitted to our department with complaints of abdominal pain and bilious vomiting. [ncbi.nlm.nih.gov] Intestinal perforation in infants is associated with difficulty feeding, bilious vomiting typically after feeds, abdominal distension, hematochezia and features of sepsis [symptoma.com] vomiting) History of endoscopic procedures, such as colonoscopy [5, 6, 7, 8] History of chronic disease, such as ulcerative colitis With regard to abdominal pain, it is important [emedicine.medscape.com] Duodenal Stenosis When a neonate develops bilious vomiting, one should suspect a surgical condition. [aafp.org] He had intermittent non-bilious vomiting up to 20 times a day, constipation with bowels opening every 4 to 5 days and occasional bilious aspirates. [jpss.eu] If the defect is located proximal to the major duodenal papilla, nonbilious vomiting occurs, whereas a defect occurring distal to the papilla causes bilious vomiting. [amboss.com] Intestinal Obstruction Bilious vomiting is often a presenting feature of upper intestinal obstruction in newborn. [ncbi.nlm.nih.gov] vomiting. [ncbi.nlm.nih.gov] We described the case of a 1-month-old female who had abdominal distention and bilious vomiting. She was suspected as intestinal obstruction after diagnostic work up. [ncbi.nlm.nih.gov] Hirschsprung Disease A 2-day-old female was admitted with severe abdominal distention, bilious vomiting and failure to pass meconium. [ncbi.nlm.nih.gov] Symptoms include: Constipation Abdominal distention Bilious vomiting Not passing meconium in Day 1 of life How? [em3.org.uk] vomiting • In older infants Wasting Failure to thrive Distended abdomen Chronic constipation 16. [slideshare.net] Intestinal Malrotation vomiting. [ncbi.nlm.nih.gov] We report the case of a 14-year-old male patient with bilious vomiting and abdominal distension. [ncbi.nlm.nih.gov] When a neonate develops bilious vomiting, one should suspect a surgical condition. [aafp.org] Duodenal Atresia One always must consider duodenal atresia with an anomalous biliary system as a possible cause of bilious vomiting with a high grade proximal bowel obstruction in a neonate [ncbi.nlm.nih.gov] Congenital duodenal obstruction, a common complication of Down syndrome, most often presents as neonatal bilious vomiting. [ncbi.nlm.nih.gov] When a neonate develops bilious vomiting, one should suspect a surgical condition. [aafp.org] Malignant Neoplasm of the Small Intestine Home 2015 ICD-9-CM Diagnosis Codes Neoplasms 140-239 Malignant Neoplasm Of Digestive Organs And Peritoneum 150-159 Malignant neoplasm of small intestine including duodenum 152- A primary or metastatic malignant neoplasm that affects the duodenum. Representative examples include carcinoma, lymphoma, and sarcoma. 152[…] [icd9data.com] Volvulus When a neonate develops bilious vomiting, one should suspect a surgical condition. [aafp.org] A 1-year-old boy with no underlying disorder presented with non-bilious vomiting since 4 days before admission. [ncbi.nlm.nih.gov] […] gender -abdominal pain -vomiting -lethargy/irritability -blood per rectum/ currant jelly stool -hypovolemic shock MC site: Jejunal Atresia - Bilious vomit at birth - Distended [fprmed.com] Meconium Plug Syndrome Keywords Cystic Fibrosis Rectal Biopsy Contrast Enema Intestinal Atresia Bilious Vomiting These keywords were added by machine and not by the authors. [link.springer.com] Clinical and radiologic findings: (1) neonate with evidence of bowel obstruction (1a) failure to pass meconium (1b) abdominal distention (1c) bilious vomiting (2) distended [meducator3.net] vomiting Imaging Findings On conventional radiographs Meconium, being fluid density, is normally invisible on radiographs In meconium ileus, there may be dilated loops of [learningradiology.com] Superior Mesenteric Artery Syndrome The patient visited our outpatient clinic presenting bilious vomiting and indigested vomitus for 3 consecutive days. He had lost 20 kg during military service. [ncbi.nlm.nih.gov] abdominal distension (42.9%), bilious vomiting (35.7%), and hypoactive bowel sounds (28.6%). [ncbi.nlm.nih.gov] We report the case of a 14-year-old boy who had a history of idiopathic scoliosis and presented with bilious vomiting that had persisted for 7 days after posterior T9-L4 fusion [ncbi.nlm.nih.gov] Congenital Pyloric Stenosis The infant may present with failure to retain feeds, persistent non-bilious vomiting after feeds, a palpable epigastric mass [which is the thickened pylorus] and dehydration [sonoworld.com] This condition causes severe projectile non-bilious vomiting. [icd.codes] CLINICAL PRESENTATION History: 2nd - 8th week of life Projectile, frequent episodes of non-bilious vomiting 30-60 minutes after feeding Weight loss Persistent hunger [slideshare.net] Hypertrophic Pyloric Stenosis Emesis was determined to be bilious if the vomit was described as "green," "containing bile," or "bilious." [ncbi.nlm.nih.gov] Although infants with HPS usually present between 3 and 5 weeks of life, HPS must be considered as part of the differential diagnosis of newborns with non-bilious vomiting [ncbi.nlm.nih.gov] We report an unusual case of an 8-year-old boy who presented with recurrent, long-standing episodes of non-bilious vomiting and poor weight gain without any other metabolic [ncbi.nlm.nih.gov] Necrotizing Enterocolitis The baby may have lethargy, poor feeding, bilious vomiting, distended abdomen and blood in stools. [childrens.memorialhermann.org] Bloody mucoid stool and bilious vomiting. Decreased bowel sounds with erythema of the abdomen. Palpable abdominal mass or ascites. [patient.info] Visible to naked eye intestinal loops Bilious vomiting Stool change (bloody mucoid) Decrease of peristaltic sounds Erythema of the abdomen wall Ascites Nonspecific systemic [symptoma.com] Pyloric Stenosis A 47-year-old man presented with epigastric pain relieved by bilious vomiting since one month. [ncbi.nlm.nih.gov] Background Hypertrophic pyloric stenosis should be suspected in infants 3 to 6 weeks old with non-bilious vomiting after meals Projectile vomiting is not always present The [kidshealthwa.com] Recurrent projectile non-bilious vomiting, typically in a 3- to-6-week-old infant (usually male), but may occur on older infants. [bestpractice.bmj.com] Acquired Hypertrophic Pyloric Stenosis This condition causes severe projectile non-bilious vomiting. [icd.codes] Bilious vomiting is infantile hypertrophic pyloric stenosis. Simple and complicated hypertrophic pyloric stenosis in the. [age-reaction.ml] Observation N 2 M.K., a 1-year old female infant was admitted in November 2008 for non bilious projectile vomiting that had been lasting for two weeks. [ncbi.nlm.nih.gov] Meconium Peritonitis Six fetuses showed abdominal distension, bilious vomiting, and no normal meconium at birth; they underwent exploratory laparotomies and subsequently, survived and prospered [ncbi.nlm.nih.gov] vomiting Imaging Findings On conventional radiographs Meconium, being fluid density, is normally invisible on radiographs In meconium ileus, there may be dilated loops of [learningradiology.com] Failure to pass meconium (stool) may lead to bilious vomiting and abdominal distention. [surgery4children.com] Gastric Volvulus The most common clinical presentations were non-bilious vomiting and epigastric distention. [ncbi.nlm.nih.gov] We report a neonate who presented with failure to thrive, non-bilious vomiting and upper abdominal distension starting at one week of age. [ncbi.nlm.nih.gov] Small bowel obstruction is a common clinical problem presenting with abdominal distention, colicky pain, absolute constipation and bilious vomiting. [ncbi.nlm.nih.gov] Colonic Atresia A case of congenital colonic atresia is reported in a full-term neonate who presented with delayed passage of meconium, abdominal distention and bilious vomiting. [ncbi.nlm.nih.gov] A 2-day-old fullterm boy presented with marked abdominal distention, milk intolerance, and bilious vomiting. [ncbi.nlm.nih.gov] The patient had to be readmitted for repeated bilious vomiting without any abdominal distension. [jiaps.com] Diaphragmatic Rupture Diaphragmatic rupture occurs in 0.8% to 3.6% of patients after blunt or penetrating thoracoabdominal trauma, and the preoperative diagnosis is difficult. The diagnosis of traumatic diaphragmatic rupture may be made on initial presentation or at any time later. Right-sided diaphragmatic rupture is rare and occurs in[…] [ncbi.nlm.nih.gov] Volvulus of the Small Intestine A 2 months-old girl presented with history of bilious vomiting, sonography showed signs of volvulus and emergency laparotomy was performed and confirmed left paraduodenal [ncbi.nlm.nih.gov] When a neonate develops bilious vomiting, one should suspect a surgical condition. [aafp.org] After the age of 2 months, bilious and non-bilious vomiting occur with equal frequency. [patient.info] Atresia of Small Intestine When a neonate develops bilious vomiting, one should suspect a surgical condition. [aafp.org] Among 15 % infants, the obstruction is above the ampulla of Vater, which results in the absence of bilious vomiting [ 6 ]. [link.springer.com] vomiting and failure to pass meconium (the child’s first stool) in the first 24 hours of birth are the most common symptoms of Jejunal Atresia. [dovemed.com] Partial Pyloric Obstruction The infant may present with failure to retain feeds, persistent non-bilious vomiting after feeds, a palpable epigastric mass [which is the thickened pylorus] and dehydration [sonoworld.com] IHPS rarely causes bilious vomiting and most frequently occurs in infants between ages 3 and 6 weeks. [mdedge.com] Answer and interpretation The major causes of non-bilious vomiting in infants are: Pyloric stenosis GORD Infection (especially UTI and gastroenteritis) While you assess the [lifeinthefastlane.com] Congenital Malrotation of the Colon When a neonate develops bilious vomiting, one should suspect a surgical condition. [aafp.org] Patients typically show features of bowel obstruction (abdominal pain, distension, bilious vomiting) or of bowel ischemia and gangrene ( tachycardia, hypotension, hematochezia [amboss.com] Malrotation Malrotation : Male predominance, 24% have associated anomalies, intermittent or recurrent vomiting with abdominal pain, progresses to bilious vomiting. [elearn.uta.edu] Meconium Ileus Clinical presentation included abdominal distension (96%), bilious vomiting (49%), and delayed passage of meconium (36%). [ncbi.nlm.nih.gov] Clinical presentation included abdominal distension, bilious vomiting, and failure to pass meconium. [ncbi.nlm.nih.gov] Loveoforganic, I've seen bilious vomiting in a practice question with Hirschsprung's on USMLE Rx. [forums.studentdoctor.net] Annular Pancreas […] multiple sources says that it causes bilious vomit. [forums.studentdoctor.net] Abstract We present a low-birth weight newborn who presented with bilious vomit and had a “double bubble” sign on plain abdominal X-ray. [ncbi.nlm.nih.gov] Available from: Bilious vomit in neonates is almost always pathological and malrotation of the gut is one of the often encountered entities on exploration of such a case. [dx.doi.org] Intestinal Atresia She was subsequently diagnosed as having ileal atresia; the initially thought "meconium stained" liquor was the result of in-utero bilious vomiting, secondary to the intestinal [ncbi.nlm.nih.gov] Abstract The patient presented at the age of 2 days with persistent bilious vomiting, failure to pass meconium and urine, and progressive abdominal distension dating from [ncbi.nlm.nih.gov] When a neonate develops bilious vomiting, one should suspect a surgical condition. [aafp.org] Apple Peel Small Intestinal Atresia When a neonate develops bilious vomiting, one should suspect a surgical condition. [aafp.org] Bilious vomiting in the newborn: Rapid diagnosis of intestinal obstruction. Am Fam Physician 2000;61:2791-8. 2. Grosfeld JL, Rescorla FJ. [mamcjms.in] He had bilious vomiting at birth. [journals.lww.com] Left-Sided Appendicitis He had abdominal cramps, bilious vomiting, and mild abdominal distention, but passed feces. [dovepress.com] Approximately 60% of patients with intestinal malrotation present in the first month of life and 20% present between 1 and 12 months, classically with bilious vomiting secondary [jmedicalcasereports.biomedcentral.com] Some “red flags” that indicate a more serious underlying etiology include peritoneal signs, bloody diarrhea, pain that awakens the child from sleep, and bilious vomiting. [clinicaladvisor.com] Afferent Loop Syndrome The authors describe two patients who were examined for a history of bilious vomiting after gastrojejunostomy, and who were thought to have afferent loop syndrome (chronic [ncbi.nlm.nih.gov] Bilious vomiting is presumed to occur from regurgitation of bilious contents in the afferent limb into the stomach after release from intermittent obstruction. [radiopaedia.org] In addition three of the patients had chronic symptoms including recurrent episodes of abdominal pain, recurrent ascending cholangitis, jaundice and bilious vomiting. [ncbi.nlm.nih.gov]
