Which comorbidity of her underlying condition will this patient most likely develop?

Medicoman · February 21, 2020, 11:30am

52-hour-old girl in the newborn nursery develops vomiting and abdominal distension. She was delivered at 40 weeks gestation to a

30-year-old woman by cesarean section for fail ure to progress. Apgar scores were 8 and 9 at 1 and 5 minutes, respecti vely. The

patient has been voiding appropriately but has not yet passed meconium. Today, she has spit up all feeds and now has bilious

emes,s. Her abdomen is tense and distended. Rectal examination shows no stool in the rectal vault and normal tone. Feeds are

held and a nasogastric tube is placed for decompression. Upright abdominal radiograph shows m ultiple dilated loops of small bowel

with paucity of air in the large intestine and rectum. Left lateral decubitus view shows free air above the liver, and an emergency

laparotomy is performed. Viscous meconium is irrigated and evacuated, primarily from the ileum with some from the colon. The colon

is found to be diffusely narrow. Which comorbidity of her underlying condition will this patient most likely develop?

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