Meconium disease

abdominal X-ray of a male newborn 3 days old with resistant bilious aspirate and moderate abdominal distention, baby is stable how to manage? .

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First one with correct answer with justification win. You are consulted on a two-day old full term infant with abdominal distention and the following contrast enema is obtained. [size=20px]A moderate amount of meconium passes but distention persists. The most appropriate next step in this infant with distension is A observation. B repeat contrast enema. C laparotomy for enterotomy and irrigation. D laparotomy for ostomy creation. E laparotomy for bowel resection with enteroenterostomy.[/size]

correct answer will be submitted after 48 hrs, please submit answer + justification A term baby is born with abdominal distension and bilious vomiting. Abdominal X-rays reveal dilated loops of bowel without air fluid levels, and a water-soluble contrast enema demonstrates a microcolon without contrast reflux into the terminal ileum. A laparotomy is performed on this stable baby with findings as shown. The bowel is in continuity; however, there is an obvious calibre change in the mid ileum, which is associated with viscid, doughy intraluminal content. [size=20px]The most appropriate next step in management is: A Seromuscular biopsies for ganglion cells B En…

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