Necrotising enterocolitis

Question 1

Sx

Answer 1

include feeding intolerance, abdominal distension and bloody stools, which can quickly progress to abdominal discolouration, perforation and peritonitis.

Question 2

Ix

Answer 2

AXR

Question 3

what is seen on AXR

Answer 3

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)