Presentation
Umbilical lines inserted. Check position.
Patient Data
Age: Preterm neonate
Gender: Female
From the case:
Neonatal bowel perforation
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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.
From the case:
Neonatal bowel perforation
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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!
From the case:
Neonatal bowel perforation
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Free gas demonstrated in the upper abdomen as a focal area of central hyperlucency.
From the case:
Neonatal bowel perforation
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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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