A Preterm Infant with Abdominal Distension and Bloody Stools

A 40-day-old, preterm, female infant was referred to a neonatal intensive care unit secondary to abdominal distension and bloody stools. The infant, born by vaginal delivery at 336/7 weeks of gestation secondary to maternal preeclampsia, weighed 1950 g. Both Caucasian parents had no chronic medical conditions. At the referring facility, she had 3 episodes (on days 3, 6, and 20 of life) of abdominal distension and bloody gastric aspirates and/or hematochezia. Enteral feeding (expressed breast milk), initiated at age 3 days, was stopped at multiple intervals.

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