Necrotizing enterocolitis
Citation, DOI, disclosures and case data
At the time the case was submitted for publication Hani Makky Al Salam had no recorded disclosures.
View Hani Makky Al Salam's current disclosuresPresentation
Premature baby. Unwell.
Patient Data
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Extensive pneumatosis intestinalis.
1 case question available
Q: What is the main imaging finding? show answer
A: Extensive pneumatosis intestinalis (intramural gas).
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Close up demonstrates intraluminal gas (yellow *) with prominent intramural gas (blue arrows).
3 case questions available
Q: In this premature neonate, what is the likely diagnosis? show answer
A: Necrotizing enterocolitis
Q: In addition to the identification of intramural gas, what should be carefully sought radiographically, to aid in assessment of severity? show answer
A: Intravascular gas (in the portal circulation) and intraperitoneal gas (indicating perforation).
Q: What is the earliest sign of necrotising enterocolitis radiographically? show answer
A: Bowel dilatation. Intramural gas is only evident as the severity increases.
Case Discussion
Typical, albeit marked, changes of necrotizing enterocolitis with very extensive gas outlining most of the bowel.
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