Last reviewed: November 2017
Last updated: December  2017

Summary

Definition

History and exam

Key diagnostic factors

  • bilious vomiting
  • abdominal pain

Other diagnostic factors

  • infant age <1 year
  • normal abdominal examination
  • abdominal distension
  • abdominal tenderness
  • tachycardia with hypertension
  • tachycardia with hypotension
  • tachypnoea
  • weight loss
  • dark blood in nappy
  • rebound tenderness and guarding

Risk factors

  • embryological abnormality

Diagnostic investigations

1st investigations to order

  • upper GI contrast series
  • CT abdomen (with oral and IV contrast)
  • abdominal plain x-rays
  • FBC
Full details

Investigations to consider

  • ultrasound
  • lower GI contrast series
  • ABG
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Pediatric Surgery Division Head & Vice Chair Department of Surgery

Program Director, Fellowship in Pediatric Surgery

Ann & Robert H. Lurie Children's Hospital of Chicago

Professor of Surgery

Northwestern University Feinberg School of Medicine

Chicago

IL

Disclosures

FA declares that he has no competing interests.

Clinical Fellow in Surgery

Harvard Medical School

Boston

MA

Disclosures

OK declares that he has no competing interests.

Dr Fizan Abdullah and Dr Omar Karim would like to gratefully acknowledge Dr Stephen Shew and Dr S.D. St Peter, previous contributors to this monograph. SS is the author of two references cited in this monograph. SDSP is the co-author of one reference cited in this monograph.

Peer reviewers VIEW ALL

Assistant Professor of Pediatric Surgery

The Medical College of Wisconsin

Children's Hospital and Health System

Milwaukee

WI

Disclosures

CC declares that he has no competing interests.

Chief of Pediatric Surgery

Chairman Department of Pediatrics

The Rocky Mountain Hospital for Children at Presbyterian/St. Luke's

Denver

CO

Disclosures

SR declares that he has no competing interests.

Assistant Professor

Department of Pediatric Surgery

University of Texas Health Science Center at Houston

Houston

TX

Disclosures

KT declares that he has no competing interests.

Consultant Paediatric Surgeon

Paediatric Surgery

St George's Hospital

London

UK

Disclosures

EN declares that he has no competing interests.

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