Which of the following is most suggestive of neonatal small bowel obstruction?
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.
Bilious vomiting
Refusal of feeds
Generalized abdominal distension
Failure to pass meconium in the first 24 hours