Virtual Pediatric Hospital(tm) : A digital library of pediatric information

Home | About | FAQ | Reviews | Search

Virtual Pediatric Hospital: Paediapaedia: Approach to Bilious Vomiting Paediapaedia: Gastrointestinal Clinical and Radiographic Presentations, DDX, Approach to Imaging

Approach to Bilious Vomiting

Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed


To distinguish between these possibilities, an upper GI exam is the study of choice, to determine the position of the ligament of Treitz, and to look for lumenal narrowing.

In the past, the barium enema was an often recommended study, in order to identify the position of the cecum to determine if the patient is malrotated. Unfortunately, the barium enema does not show whether a midgut volvulus is present.

An ultrasound examination can suggest the presence of malrotation, and can demonstrate the presence of midgut volvulus, but is not as sensitive for either as an upper GI exam.

See References Chapter.

Section Top | Title Page

Additional pediatric resources: | Facebook iconTwitter iconRSS icon |

Follow us on Twitter @pedseducationTwitter icon and @pedsimagingTwitter icon and Facebook @pedsimagingFacebook icon and Instagram @pedsimagingInstagram icon

About Us | FAQ | Reviews | Contact Us | Search

Virtual Pediatric Hospital is curated by Donna M. D'Alessandro, M.D. and by Michael P. D'Alessandro, M.D.

Please send us comments by filling out our Comment Form.

All contents copyright © 1992-2016 Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. and the authors. All rights reserved.

"Virtual Pediatric Hospital", the Virtual Pediatric Hospital logo, and "A digital library of pediatric information" are all Trademarks of Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D.

Virtual Pediatric Hospital is funded in whole by Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. Advertising is not accepted.

Your personal information remains confidential and is not sold, leased, or given to any third party be they reliable or not.

The information contained in Virtual Pediatric Hospital is not a substitute for the medical care and advice of your physician. There may be variations in treatment that your physician may recommend based on individual facts and circumstances.