Presentation
Failure to pass meconium. Abdominal distension.
Patient Data
Age: 2 day (term)
Gender: Male
From the case:
Meconium ileus
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Gas-filled dilated small bowel loops centrally.
From the case:
Meconium ileus
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There is a microcolon. Contrast reaches the mid-point of the transverse colon, but despite multiple attempts and changes of position, contrast reaches no further.
Case Discussion
Microcolon and failure to pass the point of potential obstruction suggest a differential of meconium ileus or small bowel atresia. Meconium ileus is more likely.
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