Endgames Spot Diagnosis

Plain radiograph in a neonate with abdominal distension

BMJ 2015; 351 doi: https://doi.org/10.1136/bmj.h3551 (Published 10 July 2015) Cite this as: BMJ 2015;351:h3551
  1. Hung-Yang Chang, department director1,
  2. Hung-Chang Lee, president2,
  3. Fu-Yuan Huang, professor1,
  4. Chien-Yu Lin, doctor3
  1. 1Department of Paediatrics and Neonatology, Hsinchu Mackay Memorial Hospital, Hsinchu City 30071, Taiwan
  2. 2Department of Paediatrics and Gastroenterology, Hsinchu Mackay Memorial Hospital
  3. 3Department of Paediatrics and Infectious Disease, Hsinchu Mackay Memorial Hospital
  1. Correspondence to: C-Y Lin mmhped.lin{at}gmail.com

A 2 day old full term boy was referred to our hospital with respiratory distress and abdominal distension. His prenatal examinations had been unremarkable and polyhydramnios had been absent. At physical examination he had tachypnoea and abdominal distension. He was also grunting and cried during abdominal palpation. A plain film was obtained (fig 1). What is the diagnosis?

Answer

This plain radiograph shows pneumoperitoneum with several characteristic radiographic findings.

Discussion

This plain radiograph shows four characteristic radiographic …

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