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Pediatrics Stomach and Intestines 72febbde

A neonate presented with fever, lethargy, abdominal distension, vomiting and constipation. Clinically he was diagnosed as volvulus neonatorum with suspected perforation. Best investigation would be:

A
Plain X-ray
B
Barium enema
C
Upper GI endoscopy
D
Barium meal follow-through
High-Yield Explanation
a. Plain X-ray(Ref: Nelson's 20/e p 1894-1897, Ghai 8/e p 285-286)Volvulus neonatorumWhat is it?Intestinal obstruction in a newborn due to twisting of bowel caused by malrotation or non-fixation of colonInvestigationsBarium meal follow-through is the investigation of choice as X-ray is not reliable in early stages of volvulus; However, if perforation is suspected, barium contrast should not be used because of risk of perotinitis

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