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Images in neonatal medicine
Bowel loop sign in a newborn
  1. Salvatore Garofalo1,
  2. Riccardo Guanà1,
  3. Jurgen Schleef2,
  4. Maria Grazia Cortese1,
  5. Diana Carli3,
  6. Liana Suteu4,
  7. Giovanni Battista Ferrero5,
  8. Fabrizio Gennari1
  1. 1 Pediatric General Surgery, Ospedale Infantile Regina Margherita, Turin, Italy
  2. 2 Pediatric Surgery, IRCCS Materno Infantile Burlo Garofolo, Trieste, Friuli-Venezia Giulia, Italy
  3. 3 Pediatric and Public Health Sciences, University of Torino, Ospedale Infantile Regina Margherita, Turin, Italy
  4. 4 Radiology—S. Anna Hospital, Azienda Ospedaliero Universitaria Citta della Salute e della Scienza di Torino, Torino, Piemonte, Italy
  5. 5 Department of Pediatrics, University of Torino, Turin, Italy
  1. Correspondence to Professor Riccardo Guanà, Pediatric General Surgery, Ospedale Infantile Regina Margherita, Turin 10126, Italy; riccardoguan{at}

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A 2870 g male infant was born at 36+1 weeks’ gestation by cesarean section due to mild polyhydramnios and a non-reassuring cardiotocography. An ultrasound at 31 weeks demonstrated transient hyperechogenic fetal bowel (HFB).

At birth, the Apgar scores were 9 and 10. The abdominal examination was unremarkable.

He spontaneously passed meconium. After 20 hours, he developed left hemiabdominal distension with visible dilated bowel loop sign (figure 1) and bile-stained vomiting.

Figure 1

‘Bowel loop sign’ on abdominal wall due to a segmental intestinal dilatation.

Abdominal radiography …

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  • Contributors SG and RG conceived the study; JS and MGC operated on the baby and provided us with the data; DC and GBF edited the text; FG and LS supervised the final work.

  • Funding The manuscript has been read and approved by all the authors; the requirements for authorship have been met and each author believes that the manuscript represents honest work.

  • Competing interests None declared.

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