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Images in neonatal medicine
A gas-filled appendix on a plain X-ray of the abdomen in a preterm neonate
  1. V B Anna Venugopalan,
  2. C Keaney
  1. Birmingham City Hospital, Birmingham, UK
  1. Correspondence to Dr V B Anna Venugopalan, Birmingham City Hospital, Dudley Road, Birmingham B18 7QH, UK; vikranthav{at}yahoo.com

https://doi.org/10.1136/archdischild-2014-307342

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    A 72-day-old preterm baby girl, born at 27 weeks' gestation, presented with abdominal distension, tachypnoea and desaturations. She was on 0.01 L/min of oxygen for her chronic lung disease (ventilated initially for 4 weeks and subsequently managed on continuous positive airway pressure and high-flow oxygen). She was receiving 200 mL/kg/day of mother's breast milk via a nasogastric tube. Her oxygen requirement had increased to 0.1 L/min and her abdomen was distended, tense with palpable bowel loops. Blood gas, inflammatory markers and haemoglobin (9.4 g/dl) were within the normal range. She was initially managed conservatively for necrotising enterocolitis (NEC) with nil by mouth and triple antibiotics. An abdominal X-ray …

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    Footnotes

    • Contributors VBAV had the idea for the article. VBAV and CK contributed to the conception and design of the article, data collection, manuscript writing and critical review about the intellectual content.

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.