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Images in neonatal medicine
An unusual acute abdominal swelling in a preterm baby with perforated necrotising enterocolitis
  1. Lakshmi Podugu1,
  2. Michael Singh2,
  3. Shree Vishna Rasiah1
  1. 1Neonatal Unit, Birmingham Women's Hospital, Birmingham, UK
  2. 2Department of Paediatric Surgery, Birmingham Children's Hospital, Birmingham, UK
  1. Correspondence to Lakshmi Podugu, Birmingham Women's Hospital, Neonatal Unit, Mindelson Way, Edgabston, Birmingham B15 2TG, UK; lpodugu{at}

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Case History

A 24-week gestation baby was managed conservatively at 23 days of life for necrotising enterocolitis (NEC) (Bell's stage 1). On day 3 of treatment, she developed an acute, localised, anterior abdominal wall swelling just to the right of the midline (figure 1). Her clinical condition had not worsened. This swelling was …

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  • Competing interests None.

  • Patient Consent Obtained from the parents.

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