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Vomiting in infancy

The X-ray and Ultrasound Department, The Clarendon Wing, Leeds General Infirmary, Belmont Grove, Leeds LS2 9NS, UK

• Vomiting is a relatively common symptom in childhood. The majority of children do not require any imaging.
  
• Bilious vomiting suggests an obstruction beyond the level of the second part of the duodenum. This is a significant symptom in young babies as it may indicate malrotation and possible volvulus.
  
• Abdominal radiographs in young children cannot differentiate between small and large bowel obstruction.
  
• The presence of pneumoperotineum and peritonitis are contraindications to the radiological reduction of intussusception.
  
• Any contrast enema should include a lateral view of the rectum to assess possible low bowel obstruction, including Hirschprung's disease.
  

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