Surgical Lesion

Surgicvally correctable abdominal emergencies in neonates are uncommon, may present with nonspecific symptomatology, and, when suspected, require prompt consultation with an experienced pediatric surgeon.
Common signs and symptoms include irritability & crying, Poor feeding, vomiting, constipation, & abdominal distention.
- Bilious vomiting is suggestive of malrotation with midgut volvulus or intussusception & require emergent surgical consultation & radiologic evaluation (upper GI for malrotation, air-contrast enema for intussusception).
- Projectile vomiting following feeds suggests Pyloric stenosis, which is evaluated with ultrasound.
- A groin mass may represent incarcerated hernia; inguinal hernia are common among premature infants.