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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.
Abdominal radiography showed …
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.