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An 3-day-old baby, who was being treated for probable sepsis, developed acute abdominal distension. On examination he was pale, and had tachycardia and tachypnoea and cold, dusky extremities. He responded only to pain. The abdomen was distended, tense and tender with absent bowel sounds. The scrotum was distended, translucent and non-erythematous. He had been on …
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