A Newborn With Abdominal Pain

作者:Alwan Riham*; Drake Meredith; Juarez Juan Gurria; Emery Kathleen H; Shaaban Aimen F; Szabo Sara; Sobolewski Brad
来源:Pediatrics, 2017, 140(5): e20164267.
DOI:10.1542/peds.2016-4267

摘要

A previously healthy 3-week-old boy presented with 5 hours of marked fussiness, abdominal distention, and poor feeding. He was afebrile and well perfused. His examination was remarkable for localized abdominal tenderness and distention. He was referred to the emergency department in which an abdominal radiograph revealed gaseous distention of the bowel with a paucity of gas in the pelvis. Complete blood cell count and urinalysis were unremarkable. His ongoing fussiness and abnormal physical examination prompted consultation with surgery and radiology. Our combined efforts ultimately established an unexpected diagnosis.