Investigations
Investigations are directed by the history, and include:
- urea and electrolyte measurement are indicated if there has been prolonged vomiting, or if surgery is being considered
- plain abdominal radiology, which will reveal loops of distended bowel, double bubbles or intraluminal gas.
- ultrasound scan may help in the diagnosis of pyloric stenosis or abscesses, but is operator dependent
- barium enema may be used in meconium ileum or Hirschsprung's disease
Reference:
- C A Hajivassiliou. Intestinal obstruction in neonatal/pediatric surgery. Semin Pediatr Surg. 2003 Nov;12(4):241-53.
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