Infant Journal
for neonatal and paediatric healthcare professionals

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sigmoid volvulus; necrotising enterocolitis (NEC); clinico-radiological correlation
Key points
  1. The ‘coffee bean sign’ is a classical radiological presentation of a sigmoid volvulus, however this did not fit with the clinical presentation and stability of the baby in this case.
  2. While the coffee bean sign might be a sign of sigmoid volvulus in older children and adults, X-ray appearances in preterm infants are often not ‘classic’ and may present unusual findings.
  3. This case highlights the importance of clinical and radiological correlation.

Also published in Infant:

The choice of surfactant for treatment of respiratory distress syndrome in preterm infants: A review of the evidence
There are many clinical trials of surfactant therapy in newborn babies, but making valid comparisons between surfactant preparations is problematic due to the different doses, volumes and treatment schedules used. This article reviews the evidence available from clinical trials comparing different surfactant preparations and describes a meta-analysis of three randomised, controlled trials comparing Curosurf and Survanta.