Which of the following is most suggestive of neonatal small bowel obstruction?
Bilious vomiting
Refusal of feeds
Generalized abdominal distension
Failure to pass meconium in the first 24 hours
Bilious vomiting in a newborn is abnormal and has to be considered as indicative of intestinal obstruction until proven otherwise. Ref: Bailey and Love's Sho Practice of Surgery, 24th Edition, Page 1198; Fundamentals of Surgical Practice: A Preparation Guide for The Intercollegiate By Andrew Kingsnoh, Douglas Bowley, Page 577.