{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T12:54:28Z","timestamp":1756385668096,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,9,15]]},"abstract":"<jats:p>Isolated fetal ascites was diagnosed at 20 weeks in a primiparous woman with no significant medical history. Progressive fetal ascites worsened after 28 weeks and resulted in fetal hydroceles. Delivery was by caesarian section at 33 weeks, preceded by reduction of fetal ascites under ultrasound guidance. Following delivery, the baby required further reduction of abdominal fluid and endotracheal intubation to provide respiratory support. An extensive set of investigations, including metabolic and genetic screening, was performed; all results were negative. On day two of life, the baby developed bilious aspirates and an abdominal radiograph suggested intestinal obstruction. At laparotomy, an \u2018apple peel\u2019 jejunal atresia, abnormal mesentery with precarious blood supply and a proximal perforation were identified and the perforation \u2018sewn over\u2019. The postoperative course was unremarkable, with Monogen feeds tolerated three\u2009weeks later. The baby continued to thrive at one\u2009year, tolerating increasing amount of long-chain fatty acids in diet.<\/jats:p>","DOI":"10.1136\/bcr-2017-219781","type":"journal-article","created":{"date-parts":[[2017,10,3]],"date-time":"2017-10-03T06:05:24Z","timestamp":1507010724000},"page":"bcr-2017-219781","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Isolated ascites in a newborn with \u2018apple peel\u2019 jejunal atresia"],"prefix":"10.1136","volume":"2017","author":[{"given":"Otilia","family":"Osmulikevici","sequence":"first","affiliation":[{"name":"Department of Neonatology, South Tees Hospitals NHS Foundation Trust, Middlesbrough, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Renji","sequence":"additional","affiliation":[{"name":"Department of Paediatric Gastroenterology, Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bruce","family":"Jaffray","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas","family":"Embleton","sequence":"additional","affiliation":[{"name":"Depatment of Neonatal Medicine, Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,10,3]]},"reference":[{"key":"2025082703033323000_2017.sep29_1.bcr-2017-219781.1","doi-asserted-by":"crossref","first-page":"540","DOI":"10.1542\/peds.80.4.540","article-title":"Familial apple peel jejunal atresia: surgical, genetic, and radiographic aspects","volume":"80","author":"Seashore","year":"1987","journal-title":"Pediatrics"},{"key":"2025082703033323000_2017.sep29_1.bcr-2017-219781.2","doi-asserted-by":"crossref","first-page":"55","DOI":"10.4103\/0974-5912.135048","article-title":"Isolated fetal ascites: a case report with review of literature","volume":"7","author":"Kurbet","year":"2014","journal-title":"Indian Journal of Health Sciences"},{"key":"2025082703033323000_2017.sep29_1.bcr-2017-219781.3","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1080\/14767050500133516","article-title":"Isolated fetal ascites caused by bowel perforation due to colonic atresia","volume":"17","author":"Agrawala","year":"2005","journal-title":"J Matern Fetal Neonatal Med"},{"key":"2025082703033323000_2017.sep29_1.bcr-2017-219781.4","doi-asserted-by":"crossref","first-page":"930","DOI":"10.1002\/pd.999","article-title":"Meconium peritonitis presenting as isolated massive fetal ascites","volume":"24","author":"Chen","year":"2004","journal-title":"Prenat Diagn"},{"key":"2025082703033323000_2017.sep29_1.bcr-2017-219781.5","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1002\/pd.4522","article-title":"Biochemical analysis of ascites fluid as an aid to etiological diagnosis: a series of 100 cases of nonimmune fetal ascites","volume":"35","author":"Dreux","year":"2015","journal-title":"Prenat Diagn"},{"key":"2025082703033323000_2017.sep29_1.bcr-2017-219781.6","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-011-2855-y"},{"key":"2025082703033323000_2017.sep29_1.bcr-2017-219781.7","doi-asserted-by":"crossref","unstructured":"Sachin c Amin MD , Cleo Pappas M , Hari Iyengar MD , et al . 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