Bilious Vomiting: Causes & Reasons

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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]

Duodenal Stenosis

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]

Case report – The patient is 2 year old aged girl with persistent non-bilious vomiting. [cejpaediatrics.com]

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]

RESULTS: Bilious vomiting was the cardinal complaint in both groups. [ncbi.nlm.nih.gov]

Duodenal Atresia

The typical presentation is bilious vomiting within the first hour of birth. [symptoma.com]

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]

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. [symptoma.com]

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]

If a baby does not pass meconium within 24 hours, there will be catastrophic consequences like bilious (greenish in color due to presence of bile) or non bilious vomiting, [m.theindependentbd.com]

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]

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]

Necrotizing Enterocolitis

The baby may have lethargy, poor feeding, bilious vomiting, distended abdomen and blood in stools. [childrens.memorialhermann.org]

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]

Bloody mucoid stool and bilious vomiting. Decreased bowel sounds with erythema of the abdomen. Palpable abdominal mass or ascites. [patient.info]

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]

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]

Malignant Neoplasm of the Small Intestine

Statistics at a Glance At a Glance Estimated New Cases in 2019 10,590 % of All New Cancer Cases 0.6% Estimated Deaths in 2019 1,590 % of All Cancer Deaths 0.3% Percent Surviving 5 Years 68.0% 2009-2015 Year New Cases - SEER 9 New Cases - SEER 13 Deaths - U.S. Percent Surviving 5 Years - SEER 9 Observed Modeled[…] [seer.cancer.gov]

Volvulus

[…] 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]

A 1-year-old boy with no underlying disorder presented with non-bilious vomiting since 4 days before admission. [ncbi.nlm.nih.gov]

Patients typically show features of bowel obstruction (abdominal pain, distension, bilious vomiting) or of bowel ischemia and gangrene ( tachycardia, hypotension, hematochezia [amboss.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]

Left-Sided Appendicitis

He had abdominal cramps, bilious vomiting, and mild abdominal distention, but passed feces. [dovepress.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]

While most cases of intestinal malrotation present with bilious vomiting in the first month of life, rare cases present in adulthood 3. [ispub.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]

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]

abdominal distension (42.9%), bilious vomiting (35.7%), and hypoactive bowel sounds (28.6%). [ncbi.nlm.nih.gov]

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]

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]

vomiting in second week of life; regurgitation, visible peristalsis Treatment Congenital: pyloromyotomy (splitting of pyloric muscle) Gross description Congenital: thickened [pathologyoutlines.com]

Congenital Hypertrophic Pyloric Stenosis

Emesis was determined to be bilious if the vomit was described as "green," "containing bile," or "bilious." [ncbi.nlm.nih.gov]

vomiting. [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]

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]

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]

The most common presenting features were bilious vomiting and abdominal distension. Six patients did not pass meconium within the first 24 h of birth. [ncbi.nlm.nih.gov]

Meconium Ileus

Clinical presentation included abdominal distension, bilious vomiting, and failure to pass meconium. [ncbi.nlm.nih.gov]

Clinical presentation included abdominal distension (96%), bilious vomiting (49%), and delayed passage of meconium (36%). [ncbi.nlm.nih.gov]

Loveoforganic, I've seen bilious vomiting in a practice question with Hirschsprung's on USMLE Rx. [forums.studentdoctor.net]

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]

Annular Pancreas

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]

2015/20/3/155/154656 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 [doi.org]

KEY WORDS: Annular pancreas, malrotation, type I choledochal cyst INTRODUCTION Bilious vomit in neonates is almost always pathological and malrotation of the gut is one of [ncbi.nlm.nih.gov]

Congenital Malrotation of the Colon

When a neonate develops bilious vomiting, one should suspect a surgical condition. [aafp.org]

Malrotation Malrotation : Male predominance, 24% have associated anomalies, intermittent or recurrent vomiting with abdominal pain, progresses to bilious vomiting. [elearn.uta.edu]

Patients typically show features of bowel obstruction (abdominal pain, distension, bilious vomiting) or of bowel ischemia and gangrene ( tachycardia, hypotension, hematochezia [amboss.com]

Congenital Intestinal Duplication

Our patient, 19 days female, presented with abdominal distension, constipation and bilious vomiting. She was asymptomatic for initial 9 days of life. [jscimedcentral.com]

Infants with MMIHS present with bilious vomiting, delayed passage of meconium and abdominal distention. [hawaii.edu]

Case Report A four months female child was admitted to intensive care unit with history of bilious vomiting, fever and abdominal distension since last 4 days. [casereports.in]

Intestinal Atresia

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]

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]

The most common presenting features were bilious vomiting and abdominal distension. Six patients did not pass meconium within the first 24 h of birth. [ncbi.nlm.nih.gov]

Pneumatosis Vaginalis

cough with feeding - vomiting Two common conditions caused by NON bile stained vomiting? 1) GERD 2) Pyloric stenosis What are causes of BILIOUS vomiting? [brainscape.com]

Bilious vomiting in a 9-month-old infant.Acad Emerg Med.1997;4:706-710. Godbole P, Stringer MD. Bilious vomiting in the newborn: How often is it pathologic? [appliedradiology.com]

A 4 week old baby is developing well and develops profuse and projectile vomiting after feeds. He has been losing weight and the vomit is described as being non bilious. [brainscape.com]