Gut sounds were audible and no visceromegaly
Beckwith-Wiedemann syndrome is a rare hereditary condition, which may include other defects such as omphalocele, visceromegaly
, gigantism or neonatal hypoglycemia (2), the tongue may show a diffuse, smooth generalized enlargement.
There was no visceromegaly
but shifting dullness at flanks was present.
There is a definite association of PMD with BWS, which is characterized by macrosomia, exomphalos, macroglossia, omphalocele, and internal visceromegaly
in addition to placentomegaly and increased susceptibility to childhood tumors.
Initial renal and hepatic insufficiency rapidly lead to anasarca and massive visceromegaly
impairing adequate ventilation.
, Gigantism, macroglossia, microcephaly and visceromegaly
Systemic examination showed protuberant abdomen with no visceromegaly
. He had decreased power and tone in the right upper and lower limbs.
He was anaemic but no visceromegaly
Fluid thrill and shifting dullness was negative and no visceromegaly
Lymphadenopathy was observed in 22 (68.7%) cases while visceromegaly
was noticed in 14 (43.7%) cases.
Systemic examination showed some dehydration, but was otherwise normal with no visceromegaly
Clinical presentations being pallor, fever, petechial haemorrhages, visceromegaly
and bleeding from nose and gastrointestinal tract to be the common clinical features.