How to differentiate vomiting in neonates and infants? Part III. Surgical causes of vomiting

Klinika Pediatrii, Kardiologii Prewencyjnej i Immunologii Wieku Rozwojowego, Uniwersytet Medyczny w Łodzi.
Kierownik Kliniki: prof. dr hab. n. med. Krzysztof Zeman
Adres do korespondencji: Dr n. med. Agnieszka Cywińska-Bernas, Klinika Pediatrii, Kardiologii Prewencyjnej i Immunologii
Wieku Rozwojowego, Uniwersytet Medyczny w Łodzi, ul. Rzgowska 281/289, 93-338 Łódź
Praca finansowana ze środków własnych

Pediatr Med rodz Vol 10 Numer 1, p. 45–49
DOI: 10.15557/PiMR.2014.0006
ABSTRACT

Vomiting in newborns and infants is an important clinical problem. It can be a sign of serious illnesses, life-threatening conditions and require urgent diagnosis and treatment. Knowledge of the specific causes of vomiting in the first year of life provide the diagnosis. Most of surgical causes of vomiting is associated with conditions that cause occlusion of the gastrointestinal tract. Vomiting newborn should be suspected of congenital digestive tract malformation, especially if early onset of symptoms are observed. In infancy one should remember about pyloric stenosis and intussusception. In both groups vomiting can be a symptom of incarcerated hernia or Hirschsprung disease. Vomiting newborns or infants require careful assessment, diagnosis and finding the optimal treatment. Differential diagnosis of vomiting and identification life-threatening diseases that require urgent surgical interventions could be a challenge.

Keywords: vomiting, newborn, infant, digestive system abnormalities, pyloric stenosis, intussusception