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A 613 g girl was born at 23 weeks of gestation by vaginal delivery due to maternal chorioamnionitis. She developed constipation and abdominal distention on day 2, a small amount of peritoneal fluid and low blood pressure on day 4 and bloody stool on day 6. Abdominal X-ray showed a non-specific bowel gas pattern. Necrotising enterocolitis (NEC) was suspected and treated by fasting, vasopressor support …
Funding None declared.
Competing interests None declared.
Patient consent Parental/guardian consent obtained.
Provenance and peer review Not commissioned; externally peer reviewed.