Neonatal bowel perforation

Case contributed by Dr Jeremy Jones

Presentation

Umbilical lines inserted. Check position.

Patient Data

Age: Preterm
Gender: Female
Modality: X-ray

ET tube, UAC and UVC in appropriate positions. However, in the upper mid-abdomen there is a large area of central hyperlucency consistent with free gas.

Modality: Annotated image

UVC and UAC lines are in appropriate positions. But, don't miss the wood for the trees! More important is the free gas in the upper abdomen!

Modality: Annotated image

Free gas demonstrated in the upper abdomen as a focal area of central hyperlucency.

Modality: X-ray

The shoot-through lateral confirms the free gas in the abdomen.

Case Discussion

The films was performed to assess the position of the umbilical lines, but there is a large area of hyperlucency projected in the midline. Features here are of neonatal perforation.

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Case Information

rID: 23839
Case created: 12th Jul 2013
Last edited: 15th Oct 2015
Inclusion in quiz mode: Included

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