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Necrotizing Enterocolitis

Berkey BDB - MedPix

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Affiliation: Tripler Army Medical Center

ABSTRACT

Diagnosis: Necrotizing Enterocolitis

History: Seven-day-old male born at 28-weeks of gestational age. Patient hospitalized for caffeine-treatment of apnea of prematurity. On the fourth day of hospitalization, patient was noted to have increased abdominal girth by nursing staff.

Findings: Most common finding: diffuse gaseous distention of the intestine (nonspecific). Also seen is loss of symmetry of bowel gas distribution. In the NICU, pneumatosis intestinalis (intramural gas) is highly specific for NEC; this is seen most commonly in the distal small bowel and colon. The gas seen in pneumatosis intestinalis can extend into the intestinal vascular system and distally into the portal venous system. This is seen as fine, branching lucencies seen overlying the liver. If severe enough, pneumoperitoneum is a common sequela, seen as low density in the non-dependent portion of the patinet's abdomen.

Ddx: Intestinal inertia, CPAP treated babies

Dxhow: At operation after later complication of perforation.

No MeSH data available.


pneumatosis intestinalis with portal venous gas
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MPX1961_synpic18749: pneumatosis intestinalis with portal venous gas


Necrotizing Enterocolitis

Berkey BDB - MedPix

pneumatosis intestinalis with portal venous gas
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1961&req=5

MPX1961_synpic18749: pneumatosis intestinalis with portal venous gas

View Article: MedPix Image - MedPix Case

Affiliation: Tripler Army Medical Center

ABSTRACT

Diagnosis: Necrotizing Enterocolitis

History: Seven-day-old male born at 28-weeks of gestational age. Patient hospitalized for caffeine-treatment of apnea of prematurity. On the fourth day of hospitalization, patient was noted to have increased abdominal girth by nursing staff.

Findings: Most common finding: diffuse gaseous distention of the intestine (nonspecific). Also seen is loss of symmetry of bowel gas distribution. In the NICU, pneumatosis intestinalis (intramural gas) is highly specific for NEC; this is seen most commonly in the distal small bowel and colon. The gas seen in pneumatosis intestinalis can extend into the intestinal vascular system and distally into the portal venous system. This is seen as fine, branching lucencies seen overlying the liver. If severe enough, pneumoperitoneum is a common sequela, seen as low density in the non-dependent portion of the patinet's abdomen.

Ddx: Intestinal inertia, CPAP treated babies

Dxhow: At operation after later complication of perforation.

No MeSH data available.