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Radiological Case of the Month
John G. Walsh, MB, MRCPCH;
Martin J. O'Sullivan, MB, FRCI;
C. Anthony Ryan, MB, MRCPCH
From the Departments of Paediatrics and Child Health (Drs Walsh and
Ryan) and Surgery (Dr O'Sullivan), Cork University Hospital, Cork, Ireland.
Arch Pediatr Adolesc Med. 2001;155:523-524.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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AN INFANT weighing 1530 g and born at 31 weeks' gestation by emergency
cesarean delivery was intubated in the delivery room because of respiratory
distress. Endotracheal surfactant was administered, and she was transferred
to the neonatal intensive care unit. Within an hour, high-frequency oscillation
ventilation was started because of difficulty maintaining oxygenation with
conventional ventilation. A double-lumen 3F catheter was inserted into an
umbilical vein. The baby's clinical condition improved rapidly over the next
2 days, and she was extubated and maintained on continuous positive airway
pressure. At age 4 days, she was breathing room air spontaneously.
On day 5, her abdomen was distended, and she developed respiratory distress
and was intubated. The umbilical venous catheter (UVC) was removed because
of clinical suspicion of necrotizing enterocolitis. A radiograph of the abdomen
was obtained (Figure . . . [Full Text of this Article]
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