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Neonate With Abdominal Calcifications
Claire Beetlestone, MB, BS, DMRD
JAMA. 1978;240(19):2083-2084.
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History
Progressive tympanic abdominal distension with markedly reduced chest excursions and concomitant respiratory distress developed in a neonate who was delivered by cesarean section after a prolonged labor. He became increasingly pale and shocked. He died within hours of birth. Figures 1 and 2 are flat and upright views of the abdomen without contrast medium.
Diagnosis
Spontaneous rupture of the gut with tension pyopneumoperitoneum in a neonate.
Comment
The erect film of the chest and abdomen (Fig 1) shows bilateral collapsed lungs. A long air-fluid level bisects the horizontal midplane of the distended abdomen. Air-filled bowel loops float in the midline near the top and above the fluid level. The intraperitoneal air seems to be draped over the liver and spleen, which are displaced downward and medially, leaving bilateral radiolucencies in a saddlebag configuration. The falciform ligament is outlined by air.
The supine film (Fig 2) shows a large, centrally
. . . [Full Text PDF of this Article]
Author Affiliations
From the Department of Radiology, University of Ibadan, Ibadan, Nigeria; and the Department of Diagnostic Radiology, University of Rochester Medical Center, Strong Memorial Hospital, Rochester, NY.
Footnotes
Reprint requests to Department of Diagnostic Radiology, University of Rochester Medical Center, Strong Memorial Hospital, 260 Crittenden Blvd, Rochester, NY 14642 (Dr Beetlestone).
Edited by Z. Danilevicius, MD, Senior Editor.
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