Presentation
24+1 weeks gestation. 1 week old. Increasing oxygen requirement.
Patient Data
Age: 7 days
Gender: Male
From the case:
Pneumoperitoneum and respiratory distress syndrome
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ETT, NGT, UAC and UVC with positions appropriate (UVC slightly low).
Background granular appearance of both lungs consistent with RDS.
Large volume pneumoperitoneum outlining the falciform ligament: the football sign.
From the case:
Pneumoperitoneum and respiratory distress syndrome
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Confirmation of large volume pnuemoperitoneum.
Multiple loops of gas-filled bowel. Mural gas within left-sided bowel loops. Appearances of necrotizing enterocolitis.
Case Discussion
Necrotizing enterocolitis (NEC) complicated by perforation with a large volume of gas in the peritoneal cavity. Neonatal pneumoperitoneum is most commonly seen in NEC and is often seen in preterm babies who have respiratory distress syndrome.
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