Question

A 2-day-old neonate presents with bilious vomiting and irritability. On physical examination, she has abdominal distention and high-pitched bowel sounds. Barium enema radiograph reveals a dilated sigmoid colon with a column of barium resembling a "coffee bean". What is the diagnosis?

Answer 1

The diagnosis for the neonate presenting with bilious vomiting and irritability, abdominal distention, and high-pitched bowel sounds is volvulus.

Step-by-step explanation:

The diagnosis for the 2-day-old neonate presenting with bilious vomiting and irritability, abdominal distention, and high-pitched bowel sounds, as well as a dilated sigmoid colon with a column of barium resembling a 'coffee bean' on barium enema radiograph, is volvulus. Volvulus is a condition in which the intestine twists on itself, causing obstruction and compromising blood supply. This can result in symptoms like vomiting, abdominal distention, and abnormal bowel sounds.