Document Type : Original Article

Authors

1 Faculty of Medicine, University of Kufa

2 College of Medicine, University of Babylon/Iraq

10.22038/ijn.2025.82089.2580

Abstract

Background: Neonatal bilious vomiting is a more clinical symptom that have difficulties in immediate diagnosis and assessment due to its relationship with actually life-threatening illnesses, like neonatal intestinal obstacle. The aim of study is to assessed the presence of bilious vomiting in neonates as a prognostic indicator for newborn intestinal blockage. Method: Cross sectional study for 42 patients collected from Al Zahraa Teaching Hospital in Al-Najaf from period January 2022 to January 2023. The data for all neonates collected are: Gestational age (weeks), Weight (kg), Age of presentation (months), Gender, X-ray diagnosis (Diagnostic, invert gram, Negative, Nonspecific, Suggestive), Contrast diagnosis (Diagnostic, no need, Normal and Suggestive) and finally definitive diagnosis. Results: there was a significant association between the diagnosis and specific X-ray or contrast imaging results, a lack of significant association between definitive diagnosis and gestational age, weight, age of presentation, or gender. However, with 100% accuracy in diagnosing conditions like small bowel atresia, anorectal atresia, sepsis, and M. elius based on imaging characteristics. Conclusion: Neonates with bilious vomiting discloses an essential association between imaging outcomes and diagnoses as small bowel atresia and anorectal malformations, with X-ray and contrast imaging have an essential role for diagnosis

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