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Special Feature
February 1999

Radiological Case of the Month

Author Affiliations

From the Department of Pediatrics, United States Naval Hospital, Guam.




Copyright 1999 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.1999

Arch Pediatr Adolesc Med. 1999;153(2):199-200. doi:

A TERM gestation male infant presented at 48 hours of life with a history of delayed meconium passage and bilious emesis. He was delivered by spontaneous vaginal delivery following an uncomplicated pregnancy. A soft, systolic ejection murmur was noted during the initial physical examination. Chest radiograph, arterial blood gas levels, electrocardiogram, and 4 extremity blood pressures were normal, and the murmur resolved on the second day of life. The patient's medical history was otherwise unremarkable. Results of a physical examination disclosed a slightly distended abdomen and hyperactive bowel sounds. Rectal examination revealed a patent anus with normal sphincter tone. Serum electrolyte and glucose levels were normal. The infant's white blood cell count was 18 x109/L, with 0.03 bands, 0.67 segmented neutrophils, and 0.30 lymphocytes on differential cell count. Abdominal radiographs were obtained (Figure 1 and Figure 2). The patient was treated with intravenous fluids, broad-spectrum systemic antibiotics, and bowel decompression, and was discharged from the hospital at 2 weeks of age with no complications.