The approach to a neonate with suspected intestinal obstruction: the pediatric surgical perspective


  • Vivek Parameswara Sarma Department of Paediatric Surgery, SAT Hospital, Government Medical College, Thiruvananthapuram, Kerala, India
  • Sunil S. Menon Department of Paediatric Surgery, SAT Hospital, Government Medical College, Thiruvananthapuram, Kerala, India



Atresia, Intestinal obstruction, Malrotation, Midgut volvulus, Neonatal


In this article, the possible pitfalls while evaluating a new-born with intestinal obstruction are reviewed and a diagnostic algorithm is proposed. The difficulties include the finding of an otherwise well child in most of the surgical problems and the fact that many signs are subtle. The diagnosis of distal bowel obstruction rests on proper radiological interpretation. The new-born with features of intestinal obstruction poses a diagnostic challenge to the neonatologist and paediatric surgeon. But, the systematic interpretation of history, physical examination, radiograph and contrast imaging in select cases will enable a proper and timely diagnosis. 


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