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of the vena cava, and impaired venous return. This situation can be easily resolved by insertion of a venous cannula into the abdomen [2][3]. One should avoid the right upper quadrant in performing this procedure as the large neonatal liver can be injured. Cannula decompression of a tension pneumoperitoneum is a technique which can be performed as a life-saving measure by neonatologists, paediatricians and nursing staff involved in the care and transfer of neonates. Further reading 1. Rampton JW. The football sign. Radiology 2004; 231: 81-2. 2. Eke N. Postoperative tension pneumoperitoneum in an infant.

In the vast majority of cases, special treatment was not necessary, but 5.27% of the neonates required local dermatologic therapy, and in 9.2% of neonates follow up was recommended.

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