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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.
Makarawo TP, Bartock J, Cullen ML. Neonatal Bowel Obstruction With Unilateral Labial Swelling. JAMA Surg. 2015;150(3):269-270. doi:10.1001/jamasurg.2014.498