Bile Stained Vomitus

Figure 2.7. Contrast study more clearly delineates the abnormal pouch. This procedure is often not needed and carries increased risk. Note the communication with spillage of barium into the respiratory tract as an excessive amount of contrast was used. This aspiration of contrast into die lungs via the tracheoesophageal connection is typical of type C and D tracheoesophageal fistulae, but can occur with any type.

Figure 2.8. Contrast study showing the typical H-type fistula (type B tracheoesophageal fistula). Note that the "H" looks like a reversed "N." This occurs as a result of unequal growth of the trachea and esophagus. This type is rare and occurs in less than 5% of cases.

Figure 2.9. In infants with tracheoesophageal fistula, consideration should be given to whether this is a part of the VACTERL (vertebral defects, imperforate anus, cardiac defects, tracheoesophageal fistula, renal anomalies, and ¬°imb defects) or VATER (vertebral defects, imperforate anus, tracheoesophageal fistula, and radial and renal dysplasia) syndrome. This chest radiograph shows an infant with the VACTERL syndrome. Note the vertebral and rib anomalies, the blind pouch and gasless abdomen associated with esophageal atresia, and the dextrocardia. The infant also had an imperforate anus.

Figure 2.10. In a neonate who was vomiting at 4 days of age, the barium study demonstrates a hiatal hernia (congenital short esophagus).

Figure 2.11. Intestinal obstruction beyond the ampulla of Vater should be excluded in any neonate with bile-stained vomitus. Bile-stained vomitus can also occur in infants with sepsis or necrotizing enterocolitis.

Figure 2.11. Intestinal obstruction beyond the ampulla of Vater should be excluded in any neonate with bile-stained vomitus. Bile-stained vomitus can also occur in infants with sepsis or necrotizing enterocolitis.

Bile Vomit Obstruction
Bacterial Vaginosis Facts

Bacterial Vaginosis Facts

This fact sheet is designed to provide you with information on Bacterial Vaginosis. Bacterial vaginosis is an abnormal vaginal condition that is characterized by vaginal discharge and results from an overgrowth of atypical bacteria in the vagina.

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  • PROSPERO BRANDAGAMBA
    What does vomiting bile look like?
    6 years ago

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