Abdominal distention, poor growth, and motor delay in a 1-year-old girl

摘要

A 1-year-old girl presents to the pediatrician's office with an enlarging abdomen since birth, poor weight gain since 6 months of age despite eating well, and developmental delay. She does not crawl or pull to stand and is unable to support herself on all fours for more than a few seconds. She was born at full term after an unremarkable pregnancy. She required a 3-day stay in the NICU for management of hypoglycemia, which resolved before discharge. She takes no medications and is up to date on immunizations.