A 34-year-old female with supervised pregnancy delivered a full term 3.7 kg male baby. The baby was born of a non-consanguineous marriage, with no history of exposure to any teratogens. The baby cried immediately at birth, and Apgar&#39;s score was normal.&nbsp;

On examination, the baby appeared healthy but had a&nbsp; huge distended abdomen. The infant was in respiratory distress with a respiratory rate of 70 breaths/min and mild subcostal retractions.&nbsp; The baby was admitted to NICU and started on oxygen via nasal prongs and other supportive management. A nasogastric tube was inserted, and anal patency was checked. The mean arterial pressure was 45 mmHg.&nbsp; The abdomen was distended, and a huge cystic abdominal mass occupying the whole of the abdomen was palpable. X-ray abdomen and CT scan abdomen were done.

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