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Congress: ECR25
Poster Number: C-10388
Type: Poster: EPOS Radiologist (educational)
DOI: 10.26044/ecr2025/C-10388
Authorblock: J. P. Coelho, S. Basso, H. Donato, A. Moreira, M. Sanches, M. J. Noruegas, P. J. V. Coelho, L. A. Ferreira, P. Donato; Coimbra/PT
Disclosures:
Joana Pinto Coelho: Nothing to disclose
Susana Basso: Nothing to disclose
Henrique Donato: Nothing to disclose
Angela Moreira: Nothing to disclose
Maria Sanches: Nothing to disclose
Maria Jose Noruegas: Nothing to disclose
Paulo José Vieira Coelho: Nothing to disclose
Luis Amaral Ferreira: Nothing to disclose
Paulo Donato: Nothing to disclose
Keywords: Gastrointestinal tract, Paediatric, Conventional radiography, Fluoroscopy, Ultrasound, Diagnostic procedure, Obstruction / Occlusion
Learning objectives To provide a useful and practical imaging strategy for assessing neonatal bowel obstruction. To relate the imaging findings to recommendations for approach.
Read more Background Radiology plays a crucial role in the evaluation and diagnosis of bowel obstruction in neonates.A structured imaging approach to neonatal bowel obstruction is based on an initial evaluation using an abdominal radiograph, followed by the appropriate use of ultrasound and contrast studies of the upper and lower gastrointestinal tract.
Read more Findings and procedure details Proximal Bowel Obstruction1. ESOPHAGEAL ATRESIA Malformation in the separation of the primitive foregut into the trachea and esophagus [1] The most common type (78–90%) is characterized by a proximal esophageal pouch with a fistula between the trachea and distal esophagus [1] Clinical presentation: Excessive salivation Feeding intolerance Inability to pass a nasogastric tube (classic finding) Chest radiograph: Gaseous distention of the proximal esophageal pouch Coiling of the nasogastric tube within the pouch If there is a fistula between the trachea and distal esophagus, gas will be present in the distal...
Read more Conclusion Plain abdominal radiograph is the first-line imaging modality to assess for obstruction signs, location, and potential life-threatening complications.However, additional imaging techniques such as fluoroscopy or contrast enemas are frequently needed for a definitive diagnosis.Ultrasound is increasingly used at the bedside and plays a crucial role in excluding severe conditions with a worse prognosis.
Read more References 1. Gerrie SK, Navarro OM. Imaging Features of Neonatal Bowel Obstruction. Radiographics. 2023 Aug;43(8):e230035. doi: 10.1148/rg.2300352. Tierradentro-Garcia LO, Freeman CW, Vuma M, Didier RA, Kaplan SL, Sze R, Hwang M. Neonatal gastrointestinal emergencies: a radiological review. Arch Pediatr. 2022 Apr;29(3):159-170. doi: 10.1016/j.arcped.2022.01.0163. Juang D, Snyder CL. Neonatal bowel obstruction. Surg Clin North Am. 2012 Jun;92(3):685-711, ix-x. doi: 10.1016/j.suc.2012.03.0084. Vinocur DN, Lee EY, Eisenberg RL. Neonatal intestinal obstruction. AJR Am J Roentgenol. 2012 Jan;198(1):W1-10. doi: 10.2214/AJR.11.69315. Desoky SM, Kylat RI, Udayasankar...
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