Purpose or Case Report: Bowel obstruction in the neonate is common. When neonatal intestinal obstruction is suspected, initial workup may include abdominal radiographs or ultrasound; however, in most busy pediatric radiology practices fluoroscopy is indicated to diagnose the cause, which helps the surgeon make management decisions. Accurate diagnosis is key to the successful management of these neonates. The fluoroscopist should be mindful of the methods and techniques which make evaluation of distal bowel obstruction straightforward and efficient. This exhibit will detail the rationale and protocol to perform the optimal contrast enema, which is essential to have a chance to reliably distinguish the several causes of distal bowel obstruction in neonates. Will include examples with imaging findings and differential diagnoses.
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