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Bowel loop sign in a newborn
  1. Salvatore Garofalo1,
  2. Riccardo Guanà1,
  3. Jurgen Schleef2,
  4. Maria Grazia Cortese1,
  5. Diana Carli3,
  6. Liana Suteu4,
  7. Giovanni Battista Ferrero5,
  8. Fabrizio Gennari1
  1. 1Pediatric General Surgery, Ospedale Infantile Regina Margherita, Turin, Italy
  2. 2Pediatric Surgery, IRCCS Materno Infantile Burlo Garofolo, Trieste, Friuli-Venezia Giulia, Italy
  3. 3Pediatric and Public Health Sciences, University of Torino, Ospedale Infantile Regina Margherita, Turin, Italy
  4. 4Radiology—S. Anna Hospital, Azienda Ospedaliero Universitaria Citta della Salute e della Scienza di Torino, Torino, Piemonte, Italy
  5. 5Department of Pediatrics, University of Torino, Turin, Italy
  1. Correspondence to Professor Riccardo Guanà, Pediatric General Surgery, Ospedale Infantile Regina Margherita, Turin 10126, Italy; riccardoguan{at}gmail.com

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A 2870 g male infant was born at 36+1 weeks’ gestation by cesarean section due to mild polyhydramnios and a non-reassuring cardiotocography. An ultrasound at 31 weeks demonstrated transient hyperechogenic fetal bowel (HFB).

At birth, the Apgar scores were 9 and 10. The abdominal examination was unremarkable.

He spontaneously passed meconium. After 20 hours, he developed left hemiabdominal distension with visible dilated bowel loop sign (figure 1) and bile-stained vomiting.

Figure 1

‘Bowel loop sign’ on abdominal wall due to a segmental intestinal dilatation.

Abdominal radiography showed …

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Footnotes

  • Contributors SG and RG conceived the study; JS and MGC operated on the baby and provided us with the data; DC and GBF edited the text; FG and LS supervised the final work.

  • Funding The manuscript has been read and approved by all the authors; the requirements for authorship have been met and each author believes that the manuscript represents honest work.

  • Competing interests None declared.

  • Patient consent for publication Parental/guardian consent obtained.

  • Ethics approval All procedures performed in this study were in accordance with the ethical standards of the Institutional and National Research Committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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

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