Purpose or Case Report: In this educational exhibit we will present a series of gastrointestinal (GI) emergencies encountered in the neonatal period. We will focus on typical presentations but will also include atypical cases and discuss multi-modality approach to imaging these patients.

Methods & Materials: GI emergencies are unfortunately a mainstay in the neonatal intensive care unit. Accurately diagnosing these potentially catastrophic disease processes is of paramount importance. Given that history and physical is extremely limited, accurately diagnosing neonatal GI emergencies can be quite the challenge often requiring the assistance of the radiology through x-rays and subsequent confirmatory fluoroscopic examinations, ultrasound or less commonly, computed tomography (CT) or magnetic resonance imaging (MRI). Since early diagnosis is associated with a substantially better outcome, imaging is essential in forming the proper management plan for these patients.
Results: We will use a case based approach to discuss the following neonatal emergencies of the gastrointestinal tract:
Malrotation
Duodenal atresia
Duodenal web
Jejunal or ilieal atresia
Meconium ileus
Meconium plug syndrome
Hirschsprung’s disease
Necrotizing enterocolitis
Intestinal perforation
Meconium peritonitis and complications
Conclusions: Neonatal GI emergencies are all too common and remain associated with a high mortality and morbidity. Early diagnosis via knowledge of the classic as well as atypical radiographic findings combined with confirmatory tests can result in prompt diagnosis and management of these potential catastrophic events in the neonate.