A 14-day-old infant female born to a 24-year-old G1P1 mother at 30 weeks gestation via spontaneous vaginal delivery. Birthweight was1340 g. Apgar scores were 6 and 7 at 1 and 5 minutes. Patient’s early hospital course was remarkable for respiratory distress syndrome and patent ductus arteriosus. Recent problems include apnea and bradycardia of prematurity and feeding intolerance. Her nutritional needs have been met by advancing enteral feedings of preterm formula supplemented with parenteral hyperalimentation.
On the day prior to the onset of symptoms, she was no longer receiving hyperalimentation and she was feeding 30 cc every 3 hours. Today she presented with abdominal distention and bilious vomiting. Her stool color has darkened and her urine output is reduced. She is also having more apnea and bradycardia events. What is the diagnosis in this case? What should be further…
