PROBLEM SOLVING IN CLINICAL PRACTICE
Don’t be fooled by meconium
Department of Paediatric Surgery, The Hospital for Sick Children, Great Ormond Street, London, UK
Correspondence to:
For correspondence:
MrJ Curry
Department of Paediatric Surgery, The Hospital for Sick Children, Great Ormond Street, London WCIN 3JH, UK; curryj@gosh.nhs.uk
| The first 150 words of the full text of this article appear below. |
A 2-week-old baby boy, J, presented to the local accident and emergency (A&E) department of with a two-day history of diarrhoea and vomiting and a one-day history of abdominal distension and difficulty breathing.
Baby J was the first child of healthy parents. The pregnancy had been normal until 31 weeks gestation when an antenatal ultrasound scan revealed a large left renal cyst. He was born by spontaneous vaginal delivery at full-term with a birth weight of 3500 g. The Apgar scores were 9 at 1 minute and 9 at 5 minutes of age. He was initially breastfed on demand. At postnatal examination he had bilateral positional talipes and a deviated nasal septum. Meconium was passed by 24 h of age. An ultrasound scan at 48 h of age revealed a probable dysplastic left kidney and dilatation of the right ureter with calyceal blunting. Urea and electrolytes at 2 days of
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