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
Answer is A. .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