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A preterm baby was born at 24 weeks’ gestation weighing 658 g. The baby needed intubating. The umbilical vein was catheterised and empiric antibiotics administered. On the eighth day, the baby developed abdominal distension and the appearance of violaceous coloration of the scrotum and left hypochondrium (figure 1) but displayed no other symptoms. Abdominal ultrasound showed free echogenic fluid …
Competing interests None declared.
Patient consent Parental/guardian consent obtained.
Provenance and peer review Not commissioned; externally peer reviewed.