neonatal bilious vomiting as a predictor for neonatal intestinal obstruction

Background: neonatal bilious vomiting is a more clinical symptom that can be difficult to diagnose and assess immediately due to its relationship with actual life-threatening illnesses, like neonatal intestinal obstruction. the study examines the relationship between neonatal diagnosis, particular x-ray or contrast imaging results, conclusive vomiting diagnosis, gestational age, weight, age of presentation, or gender.methods: this is a cross-sectional study of 42 patients collected from al zahraa teaching hospital in al-najaf from january 2022 to january 2023. the data for all neonates collected are gestational age (weeks), weight (kg), age of presentation (months), gender, x-ray diagnosis (diagnostic, invert gram, negative, nonspecific, suggestive), contrast diagnosis (diagnostic, no need, normal and suggestive), and finally, definitive diagnosis.results: there was a significant association between the diagnosis and specific x-ray or contrast imaging results, but there was a lack of significant association between definitive diagnosis and gestational age, weight, age of presentation, or gender. however, there was a significant association in diagnosing conditions like small bowel atresia, anorectal atresia, sepsis, and meconium ileus based on imaging characteristics.conclusion: neonates with bilious vomiting disclose an essential association between imaging outcomes and diagnoses as small bowel atresia and anorectal malformations, with x-ray and contrast imaging having an essential role in diagnosis.