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Necrotizing enterocolitis

Case contributed by Hani Makky Al Salam
Diagnosis almost certain

Presentation

Premature baby. Unwell.

Patient Data

Age: 31 weeks gestation - premature birth

Abdominal x-rays

x-ray

Extensive pneumatosis intestinalis.

Annotated x-ray

Annotated image

Close up demonstrates intraluminal gas (yellow *) with prominent intramural gas (blue arrows). 

Case Discussion

Typical, albeit marked, changes of necrotizing enterocolitis with very extensive gas outlining most of the bowel. 

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