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Meconial hydrocele as first sign of acute intestinal perforation in a preterm baby
  1. Maria Victoria Jiménez-Cabanillas1,
  2. Susanne Vetter-Laracy1,
  3. Pilar Cobo1,
  4. Antonia Roca Jaume1,
  5. Cristina M Maroto-García1,
  6. Anna Moreno Montero2
  1. 1Division of Neonatology, Department of Pediatrics, University Hospital Son Espases, Palma de Mallorca, Spain
  2. 2Department of Pediatric Surgery, University Hospital Son Espases, Palma de Mallorca, Spain
  1. Correspondence to Dr Maria Victoria Jiménez-Cabanillas, Division of Neonatology, Department of Pediatrics, University Hospital Son Espases, Palma de Mallorca 07120, Spain; victoriajimenezcabanillas{at}gmail.com

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A preterm baby was born at 24 weeks’ gestation weighing 658 g. The baby needed intubating. The umbilical vein was catheterised and empiric antibiotics administered. On the eighth day, the baby developed abdominal distension and the appearance of violaceous coloration of the scrotum and left hypochondrium (figure 1) but displayed no other symptoms. Abdominal ultrasound showed free echogenic fluid …

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