Bilious Vomiting: Causes & Reasons

Possible Causes for Bilious Vomiting

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

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 Malrotation

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

• Bilious vomiting remains the cardinal sign of neonatal intestinal obstruction, and malrotation must be the presumed diagnosis until proven otherwise. 7. • Other signs [slideshare.net]

Abdominal distention with bilious vomiting is observed within the first 24 hours after birth. [aafp.org]

Duodenal Atresia

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

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]

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]

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]

In 80 per cent of cases the papilla of Vater opens into the proximal duodenum causing the vomiting to be bilious. [www2.health.vic.gov.au]

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]

In 80% of cases the papilla of Vater opens into the proximal duodenum causing the vomiting to be bilious. [www3.health.vic.gov.au]

vomiting, and failure to pass meconium.Thickened bowel loops filled with rubbery meconium areoften visible and palpable through the abdominal wall.Remarkable abdominal distention [patientcareonline.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]

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]

She developed persistent non-bilious vomiting that was associated with constipation soon after birth. [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]

All patients had classic projectile,and persistent non-bilious vomiting. [journals.plos.org]

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

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]

After the age of 2 months, bilious and non-bilious vomiting occur with equal frequency. [patient.info]

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]

A girl 15 years of age, presented with postprandial abdominal pain, bilious vomiting and weight loss. [wwww.unboundmedicine.com]

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

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]

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]

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]

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]

Volvulus of the Small Intestine

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

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]

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]

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]

Among 15 % infants, the obstruction is above the ampulla of Vater, which results in the absence of bilious vomiting [ 6 ]. [link.springer.com]

Meconium Ileus

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

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]

Diaphragmatic Rupture

Blunt traumatic rupture of the diaphragm is rare. We provide a case report of rupture of the diaphragm with visceral herniation in blunt thoracoabdominal trauma. [ncbi.nlm.nih.gov]

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]

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]

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 [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]

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

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]

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]

He was born at 38 weeks’ gestation following an uncomplicated pregnancy and delivery Since birth, he has had two episodes of bilious vomiting after feedings and has not yet [brainscape.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]

Apple Peel Small Intestinal Atresia

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

vomiting. [medbullets.com]

Bilious vomiting in the newborn: Rapid diagnosis of intestinal obstruction. Am Fam Physician 2000;61:2791-8. 2. Grosfeld JL, Rescorla FJ. [mamcjms.in]