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A complication worth remembering
  1. N B Soni,
  2. A Selby,
  3. P Minchom
  1. SpR Paediatrics, Glan Clwyd Hospital, Rhyl, Wales, UK;

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    This neonate developed progressive abdominal distension after long line insertion requiring high ventilating pressures. A linogram revealed leakage of contrast into the peritoneum. After long line removal, the child was extubated in 48 hours.

    This complication should be considered when abdominal distension occurs without convincing evidence of necrotising enterocolitis.

    Figure 1

     Linogram showing contrast leakage into peritoneum.

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