Surgical Problems in Neonates

Question 1

presentation of meconium ileus

Answer 1

vomiting
no opening of bowels for more than 24 hours after birth
doughy abdomen

Question 2

diagnosis of meconium ileus

Answer 2

XR enema contrast shows soap bubble sign and narrow bowel that has never been used

Question 3

common cause of meconium ileus

Answer 3

CF

Question 4

presentation of jejunal atresia (dead-end)

Answer 4

vomiting
no stool passage
bowel stretching

Question 5

diagnosis of jejunal atresia

Answer 5

XR shows enlarged bowel (compare with size of vertebrae)

Question 6

presentation of inguinal hernia

Answer 6

loss of groin creases on affected side

risk of perforation

Question 7

diagnosis of inguinal hernia

Answer 7

clinical

XR shows laddering

Question 8

is malrotation with volvulus an emergency?

Answer 8

yes

Question 9

presentation of malrotation with volvulus

Answer 9

mossy green vomit (bile) within first year of life

mesentery twists

Question 10

diagnosis of malrotation with volvulus

Answer 10

XR upper GI contrast with follow-through shows bowel not in the correct place