18 day old male with vomiting What color was it? Non-bilious emesis - - PowerPoint PPT Presentation

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18 day old male with vomiting what color was it
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18 day old male with vomiting What color was it? Non-bilious emesis - - PowerPoint PPT Presentation

May 22, 2023 39 likes •243 views

18 day old male with vomiting What color was it? Non-bilious emesis Ampulla of Vater Bilious emesis Surgical causes of GI obstruction in a newborn Non-bilious emesis GERD Pyloric stenosis Duodenal atresia Annular pancreas Esophageal

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18 day old male with vomiting

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Bilious emesis Non-bilious emesis

What color was it?

Ampulla of Vater

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Bilious emesis Non-bilious emesis

Surgical causes of GI

  • bstruction in a newborn

GERD Pyloric stenosis Duodenal atresia Annular pancreas Esophageal atresia Malrotation with midgut volvulus Intussusception Jejunoileal atresia Meconium plug syndrome Meconium ileus Hirschprung’s disease Imperforate anus

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Remember

Bilious emesis in a newborn is malrotation with midgut volvulus until proven otherwise!

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Abdominal XR

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Upper GI

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Ultrasound: Whirlpool Sign

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CT Scan

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CT Scan

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Normal Midgut Rotation

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Normally Anchored SB Mesentery

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Narrow vascular pedicle allows for midgut volvulus

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The Root of Midgut Volvulus

Broad-based normal root

  • f mesentery

Point-based root of mesentery in malrotation

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Steps of Ladd’s Procedure

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Results of Ladd’s Procedure