A late preterm male infant is born via cesarean section in view of fetal distress to a 30-year-old primigravida mother with an unremarkable antenatal period. At delivery, the infant is vigorous, with Apgar scores of 8 and 9 at 1 and 5 minutes, respectively. His weight is 2,660 g and he is not found to have any anomalies at birth. He develops respiratory distress soon after birth and is referred for further management. At admission, the infant has moderate respiratory distress with a Silverman Anderson score of 5, for which he is supported with heated humidified high-flow nasal cannula. Respiratory distress resolves within 24 hours after birth and he is weaned off respiratory support. Breastfeeding is attempted but he develops abdominal distention even with an orogastric tube in situ with no altered aspirates. In addition, he does not pass meconium even after 24 hours. Pediatric surgery consultation is sought for...

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