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Case of the Week 514



What is the most likely diagnosis?

  • Premature newborn with distended abdomen



Supine Radiograph of Abdomen

  1. Duodenal atresia
  2. Meconium ileus
  3. Malrotation with midgut volvulus
  4. Necrotizing Enterocolitis
  5. Nematode infestation

Additional Images-Close-up of right upper quadrant

 

Additional Images

 

Close-up of right upper quadrant


Answer:

 

4. Necrotizing Enterocolitis

 

More (Click Discussion Tab)

 

 

Necrotizing Enterocolitis

General Considerations

  • Most common gastrointestinal medical and/or surgical emergency occurring in neonates
  • Etiology
    • Remains unknown
    • Ischemia and/or reperfusion injury may play a role
    • Cluster cases and outbreaks in nurseries imply an infectious etiology
      • A single causative organism has not been found
    • Translocation of intestinal flora across compromised mucosa may play a role

    MORE . . .

     


    .

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