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JAMA Surgery Clinical Challenge
March 2015

Neonatal Bowel Obstruction With Unilateral Labial Swelling

Author Affiliations
  • 1Department of Surgery, Providence Hospital and Medical Center, Southfield, Michigan
  • 2Department of Surgery, St John Macomb–Oakland Hospital, Warren, Michigan
  • 3Department of Pediatric Surgery, St John Hospital and Medical Center, Detroit, Michigan
JAMA Surg. 2015;150(3):269-270. doi:10.1001/jamasurg.2014.498

A 2-day-old girl (weight, 3.7 kg) developed abdominal distention and vomiting after feeding. Her Apgar scores at 1 and 5 minutes were 7 and 9, respectively. The infant’s postnatal course was remarkable for a febrile episode that was presumed to be due to chorioamnionitis in the mother and for which antibiotic treatment was initiated. Findings from the prenatal ultrasound, most recently conducted at 33 weeks’ gestation, were normal. The infant was active and well perfused, with a soft but distended abdomen and right-sided labial swelling. Findings from the remainder of her examination were unremarkable.

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