Necrotising enterocolitis Flashcards

1
Q

What is necrotising enterocolitis?

A

one of the leading causes of death amongpremature infants. Initial symptoms can includefeeding intolerance, abdominal distension and bloody stools, which can quickly progress to abdominal discolouration, perforation and peritonitis.

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2
Q

How to diagnose necrotising enterocolitis?

A

abdominal x-rays

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3
Q

what can abdominal xrays show with necrotising enterocolitis?

A
  • dilated bowel loops (often asymmetrical in distribution)
  • bowel wall oedema
  • pneumatosis intestinalis (intramural gas)
  • portal venous gas
  • pneumoperitoneum resulting from perforation
  • air both inside and outside of the bowel wall (Rigler sign)
  • air outlining the falciform ligament (football sign)
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