29hours neonate not passing meconium. Differential diagnosis??? Management???

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Dx : X - RAY ABDOMEN : MULTIPLE GAS SHADOWS WITH DISTENSION ABDOMEN. D/D : PRE-TERM INFANT. MECONIUM PLUG. ANO-RECTAL ANOMALIES. P

There are multiple gaseous distended loops of bowel, clinically suggestive of intestinal obstruction, it could be high or low imperforate anus, or congenital megacolon, needs to confirm by investigations.and plan the treatment.

Imperforate anus.Immediate surgical interventions.

The entire abdomen is distended with bowel full of gases. S/o anorectal anamoly imperforate anus.

Meconium ileus

Meconium plug.

Meconium plug syndrome

Dr. Mir Asif

Anorectal malformation.

Meconium plug

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