Case Chronicles Teaching Files Case Of Neonatal Obstruction –

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Video Title / CaptionCase Chronicles – Teaching Files: Case of Neonatal Obstruction Part 1 – Evaluating a Baby With Bilious Vomiting Part 1 of 3: A term newborn presents with bilious emesis, abdominal distension, and no passage of meconium. What should you do first? KEY TAKEAWAYS • Bilious emesis in a newborn must be treated as malrotation with midgut volvulus until proven otherwise. • A stable, nontoxic baby with a soft abdomen and multiple dilated bowel loops extending distally may suggest a distal intestinal obstruction. • Clinical appearance and the abdominal X-ray can guide your suspicion, but they do not definitively exclude malrotation. • An upper GI study is used to evaluate the position of the duodenojejunal junction and formally assess for malrotation. • Once malrotation has been excluded, additional imaging—such as a contrast enema—can help define the cause and level of the obstruction. Thanks to Dr. Michael Helmrath and Dr. Paul Wales at Cincinnati Children's for their guidance on this case. What would you do next? Watch Part 2 to see why the operation was canceled, all videos on our page. Visit the Intestinal Rehab Center page at Cincinnati Children's to learn more! Made possible by Cincinnati Children's #PediatricSurgery #NeonatalSurgery #NeonatalObstruction #BiliousEmesis #Malrotation #MidgutVolvulus #BowelObstruction #IlealAtresia #NICU #NewbornCare #MedicalEducation #SurgicalEducation #PediatricSurgeon #ClinicalReasoning #WhatWouldYouDo
TikTok Creator@staycurrentmd (Stay Current MD)
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Total Likes❤️ 32 likes
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Original Video Caption:
Case Chronicles – Teaching Files: Case of Neonatal Obstruction Part 1 – Evaluating a Baby With Bilious Vomiting Part 1 of 3: A term newborn presents with bilious emesis, abdominal distension, and no passage of meconium. What should you do first? KEY TAKEAWAYS • Bilious emesis in a newborn must be treated as malrotation with midgut volvulus until proven otherwise. • A stable, nontoxic baby with a soft abdomen and multiple dilated bowel loops extending distally may suggest a distal intestinal obstruction. • Clinical appearance and the abdominal X-ray can guide your suspicion, but they do not definitively exclude malrotation. • An upper GI study is used to evaluate the position of the duodenojejunal junction and formally assess for malrotation. • Once malrotation has been excluded, additional imaging—such as a contrast enema—can help define the cause and level of the obstruction. Thanks to Dr. Michael Helmrath and Dr. Paul Wales at Cincinnati Children's for their guidance on this case. What would you do next? Watch Part 2 to see why the operation was canceled, all videos on our page. Visit the Intestinal Rehab Center page at Cincinnati Children's to learn more! Made possible by Cincinnati Children's #PediatricSurgery #NeonatalSurgery #NeonatalObstruction #BiliousEmesis #Malrotation #MidgutVolvulus #BowelObstruction #IlealAtresia #NICU #NewbornCare #MedicalEducation #SurgicalEducation #PediatricSurgeon #ClinicalReasoning #WhatWouldYouDo

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