Figure it out fridays
A 2-day-old girl (weight, 3.7 kg) developed abdominal distention and vomiting after feeding. The infant’s postnatal course was remarkable for a febrile episode that was presumed to be due to chorioamnionitis in the mother and for which antibiotic treatment was initiated. The infant was active and well perfused, with a soft but distended abdomen and right-sided labial swelling. Findings from the remainder of her examination were unremarkable. Abdominal Xray findings were as follows with 6 days of contrast retention in the terminal ileum. She underwent exploratory laparotomy on the eighth day of life and result is shown in the image below. What is your diagnosis?