Newborn With Respiratory Distress and Abdominal Distention

Abstract

A term newborn presents with respiratory distress and significant abdominal distention after birth (Figure 1). Figure 1. Abdominal radiograph. ### Prenatal and Birth Histories: ### Presentation: The infant responded well to blow by oxygen, and respiratory distress improved without significant further interventions. Abdominal radiography (Figure 1) was performed immediately to assess level of abdominal distention and revealed left upper quadrant calcifications and a nonobstructive gas pattern with paucity of bowel gas in the left abdomen. Given these unusual findings in an otherwise healthy term infant, the patient then underwent complete abdominal ultrasonography, which revealed a sizeable 9-cm mass that extended from the left kidney and adrenal gland to past the midline in the upper abdomen and ascites. The outside hospital neonatologist then scheduled an urgent transfer of this patient to a children’s hospital for further evaluation and assessment. On arrival at the children’s hospital, the following were observed: ### Vital Signs: