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Pediatrics. 2017 Nov;140(5). pii: e20164267. doi: 10.1542/peds.2016-4267.

A Newborn With Abdominal Pain.

Author information

1
Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; riham.alwan@cchmc.org.
2
Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
3
The Chicago Institute for Fetal Health, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois; and.
4
Department of Pediatric Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois.

Abstract

A previously healthy 3-week-old boy presented with 5 hours of marked fussiness, abdominal distention, and poor feeding. He was afebrile and well perfused. His examination was remarkable for localized abdominal tenderness and distention. He was referred to the emergency department in which an abdominal radiograph revealed gaseous distention of the bowel with a paucity of gas in the pelvis. Complete blood cell count and urinalysis were unremarkable. His ongoing fussiness and abnormal physical examination prompted consultation with surgery and radiology. Our combined efforts ultimately established an unexpected diagnosis.

PMID:
29042421
DOI:
10.1542/peds.2016-4267
[Indexed for MEDLINE]
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