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A 25-day-old preterm boy (gestational age 27 weeks, birth weight 790 g) presented with apnea, desaturations, abdominal distension and tenderness, and a firm mass in his left upper and lower abdomen. At the onset of symptoms, he was on full enteral feeds with fortified mother's milk. A plain abdominal X-ray showed the characteristic sign of milk …
Contributors The authors were all involved in clinical care of the patient. BA wrote the first draft of the manuscript. SH, R-BT and CR revised the manuscript, contributed to editing and amendments to the text.
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.