eMedicine Specialties > Radiology > Pediatrics
Necrotizing Enterocolitis: Multimedia
Updated: Nov 10, 2008
Multimedia
![]() | Media file 1: The radiograph demonstrates multiple dilated loops in the large bowel and small bowel. Note the pneumatosis intestinalis with bubbly and linear gas collections in the bowel wall. |
![]() | Media file 2: Increasing pneumatosis intestinalis is seen in this radiograph. |
![]() | Media file 3: Anteroposterior image shows necrotizing enterocolitis with pneumatosis intestinalis. |
![]() | Media file 4: Lateral abdominal image shows pneumatosis intestinalis. |
![]() | Media file 5: This radiograph shows free air secondary to bowel wall necrosis. |
![]() | Media file 6: Left lateral decubitus radiograph shows free air. |
![]() | Media file 7: Portal venous air is present in a patient with pneumatosis intestinalis. |
![]() | Media file 8: Image obtained during examination with a water-soluble enema shows the pneumatosis well. This technique is not recommended. |
More on Necrotizing Enterocolitis |
| Overview: Necrotizing Enterocolitis |
| Imaging: Necrotizing Enterocolitis |
Multimedia: Necrotizing Enterocolitis |
| References |
| Further Reading |
| « Previous Page |
References
Chung DH, Ethridge RT, Kim S, Owens-Stovall S, Hernandez A, Kelly DR, et al. Molecular mechanisms contributing to necrotizing enterocolitis. Ann Surg. Jun 2001;233(6):835-42. [Medline].
Claud EC, Walker WA. Hypothesis: inappropriate colonization of the premature intestine can cause neonatal necrotizing enterocolitis. FASEB J. Jun 2001;15(8):1398-403. [Medline].
Di Lorenzo M, Krantis A. Altered nitric oxide production in the premature gut may increase susceptibility to intestinal damage in necrotizing enterocolitis. J Pediatr Surg. May 2001;36(5):700-5. [Medline].
Duro D, Kamin D, Duggan C. Overview of pediatric short bowel syndrome. J Pediatr Gastroenterol Nutr. Aug 2008;47 Suppl 1:S33-6. [Medline].
Hunter CJ, Upperman JS, Ford HR, Camerini V. Understanding the Susceptibility of the Premature Infant to Necrotizing Enterocolitis (NEC). Pediatr Res. Dec 10 2007;[Medline].
Manogura AC, Turan O, Kush ML, Berg C, Bhide A, Turan S. Predictors of necrotizing enterocolitis in preterm growth-restricted neonates. Am J Obstet Gynecol. Jan 11 2008;[Medline].
Buchheit JQ, Stewart DL. Clinical comparison of localized intestinal perforation and necrotizing enterocolitis in neonates. Pediatrics. Jan 1994;93(1):32-6. [Medline].
Casey L, Lee KH, Rosychuk R, Turner J, Huynh HQ. 10-year review of pediatric intestinal failure: clinical factors associated with outcome. Nutr Clin Pract. Aug-Sep 2008;23(4):436-42. [Medline].
Cakmak Celik F, Aygun C, Cetinoglu E. Does early enteral feeding of very low birth weight infants increase the risk of necrotizing enterocolitis?. Eur J Clin Nutr. Nov 28 2007;[Medline].
Premji S, Chessell L. Continuous nasogastric milk feeding versus intermittent bolus milk feeding for premature infants less than 1500 grams. Cochrane Database Syst Rev. 2001;(1):CD001819. [Medline].
Ververidis M, Kiely EM, Spitz L, Drake DP, Eaton S, Pierro A. The clinical significance of thrombocytopenia in neonates with necrotizing enterocolitis. J Pediatr Surg. May 2001;36(5):799-803. [Medline].
Hunter CJ, Petrosyan M, Ford HR, Prasadarao NV. Enterobacter sakazakii: An Emerging Pathogen in Infants and Neonates. Surg Infect (Larchmt). Aug 7 2008;[Medline].
Gagliardi L, Bellù R, Cardilli V, De Curtis M. Necrotising enterocolitis in very low birth weight infants in italy: incidence and non-nutritional risk factors. J Pediatr Gastroenterol Nutr. Aug 2008;47(2):206-10. [Medline].
Bury RG, Tudehope D. Enteral antibiotics for preventing necrotizing enterocolitis in low birthweight or preterm infants. Cochrane Database Syst Rev. 2001;(1):CD000405. [Medline].
Sigalet DL. Short bowel syndrome in infants and children: an overview. Semin Pediatr Surg. May 2001;10(2):49-55. [Medline].
Ng E, Shah VS. Erythromycin for the prevention and treatment of feeding intolerance in preterm infants. Cochrane Database Syst Rev. Jul 16 2008;CD001815. [Medline].
Saxena A, Galwa RP. Sonographic findings and outcome in necrotizing enterocolitis. Pediatr Radiol. Nov 2007;37(11):1180. [Medline].
Further Reading
Evidence-based care guideline for necrotizing enterocolitis (NEC) among very low birth weight infants.
Cincinnati Children's Hospital Medical Center. 2005 Jul 14 (revised 2007 Feb). 12 pages. NGC:005522
Keywords
necrotizing enterocolitis, NEC, neonatal colitis, neonatal enteritis, necrotic appendicitis of the newborn, neonatal gastrointestinal disease, complication of prematurity


















Multimedia: Necrotizing Enterocolitis