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Green for danger! Intestinal malrotation and volvulus
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  • Published on:
    Green for Danger

    Sir, Your two recent articles dealing with malrotation of the intestine (1,2), whilst being very specific with regard to the colour of the vomitus (green), were perhaps not specific enough. Yellow vomiting as a sign of malrotation has been noted by Millar et al (3), Walker et al (4) and personal experience some years earlier. Awareness of this may aid early diagnosis.

    Reflux of yellow bile into the stomach,...

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    Conflict of Interest:
    None declared.
  • Published on:
    How green was my vomit?

    Dear Editor,

    I enjoyed this excellent review on malrotation. The title, however, implies that the key alerting sign for clinicians is that the vomit is green, and the paper fails to address the issue of the lack of consensus regarding the colour of ‘bile’. This topic has been the subject of a recent study involving hospital and community nurses, parents and GPs (1). Participants were sent a questionnaire with colour...

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    Conflict of Interest:
    None declared.