Neonatal bowel perforation

Case contributed by Dr Jeremy Jones

Presentation

Umbilical lines inserted. Check position.

Patient Data

Age: Preterm
Gender: Female
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.

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!

Annotated image

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

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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