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Pediatrics Gastrointestinal tract d1212a6f

A neonate presented with fever, lathargy, abdominal distension, Vomiting and constipation. Clinically he was diagnsoed as volvulus nenatarum 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
.Volvulus neonatorum It is predisposed to by arrested gut rotation with a resultant narrow mesentry of the small bowel and caecum. Symptoms:repeated vomiting,dehydration,abdominal distension Abdominal radiography shows evidence of duodenal obstruction. Laprotomy shows distended stomach and coils of small bowel BAILEY AND LOVE&;S SHO PRACTICE OF SURGERY,PG NO:1197,24th edition

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