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Neonatal Necrotizing Enterocolitis

Neonatal Necrotizing Enterocolitis Abstract Sir.—The article "Neonatal Necrotizing Enterocolitis in the Absence of Pneumatosis Intestinalis" by Kliegman and Fanaroff (Journal 1982;136: 618-620) draws attention to the important observation that neonatal necrotizing enterocolitis (NEC) is not always associated with radiologic evidence of intramural intestinal gas (pneumatosis intestinalis). Nineteen of their 136 patients with confirmed NEC did not have pneumatosis intestinalis; five patients had radiologic evidence of ascites, a finding indicative of usually severe NEC in the proper clinical circumstances.1 The authors do not state if the remainder of these patients had a normal radiologic appearance on abdominal films. As Kliegman and Fanaroff point out, NEC without pneumatosis intestinalis (and without the other well-known signs of portal venous gas and pneumoperitoneum) has been reported before, including patients with histologic confirmation of NEC.2,3 Such patients usually have what is known as a "disturbed bowel gas pattern" that is most often characterized by the presence References 1. Daneman A, Woodward S, deSilva M: The radiology of neonatal necrotizing enterocolitis: A review of 47 cases and the literature . Pediatr Radiol 1978;7:70-77.Crossref 2. Rabinowitz JG, Siegle RL: Changing clinical and roentgenographic patterns of necrotizing enterocolitis . AJR 1976;126:560-566.Crossref 3. Leonidas JC, Hall RT, Amoury RA: Critical evaluation of the roentgen signs of neonatal necrotizing enterocolitis . Ann Radiol 1976;19: 123-132. 4. Reid WD, Shannon MP: Necrotizing enterocolitis: A medical approach to treatment . Can Med Assoc J 1973;108:573-576. 5. Cipel L: Radiology of the Acute Abdomen in the Newborn . New York, Grune & Stratton Inc, 1978, pp 3-23. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Neonatal Necrotizing Enterocolitis

Neonatal Necrotizing Enterocolitis

Abstract

Abstract Sir.—The article "Neonatal Necrotizing Enterocolitis in the Absence of Pneumatosis Intestinalis" by Kliegman and Fanaroff (Journal 1982;136: 618-620) draws attention to the important observation that neonatal necrotizing enterocolitis (NEC) is not always associated with radiologic evidence of intramural intestinal gas (pneumatosis intestinalis). Nineteen of their 136 patients with confirmed NEC did not have pneumatosis intestinalis; five patients had radiologic...
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References (5)

Publisher
American Medical Association
Copyright
Copyright © 1982 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1982.03970480063016
Publisher site
See Article on Publisher Site

Abstract

Abstract Sir.—The article "Neonatal Necrotizing Enterocolitis in the Absence of Pneumatosis Intestinalis" by Kliegman and Fanaroff (Journal 1982;136: 618-620) draws attention to the important observation that neonatal necrotizing enterocolitis (NEC) is not always associated with radiologic evidence of intramural intestinal gas (pneumatosis intestinalis). Nineteen of their 136 patients with confirmed NEC did not have pneumatosis intestinalis; five patients had radiologic evidence of ascites, a finding indicative of usually severe NEC in the proper clinical circumstances.1 The authors do not state if the remainder of these patients had a normal radiologic appearance on abdominal films. As Kliegman and Fanaroff point out, NEC without pneumatosis intestinalis (and without the other well-known signs of portal venous gas and pneumoperitoneum) has been reported before, including patients with histologic confirmation of NEC.2,3 Such patients usually have what is known as a "disturbed bowel gas pattern" that is most often characterized by the presence References 1. Daneman A, Woodward S, deSilva M: The radiology of neonatal necrotizing enterocolitis: A review of 47 cases and the literature . Pediatr Radiol 1978;7:70-77.Crossref 2. Rabinowitz JG, Siegle RL: Changing clinical and roentgenographic patterns of necrotizing enterocolitis . AJR 1976;126:560-566.Crossref 3. Leonidas JC, Hall RT, Amoury RA: Critical evaluation of the roentgen signs of neonatal necrotizing enterocolitis . Ann Radiol 1976;19: 123-132. 4. Reid WD, Shannon MP: Necrotizing enterocolitis: A medical approach to treatment . Can Med Assoc J 1973;108:573-576. 5. Cipel L: Radiology of the Acute Abdomen in the Newborn . New York, Grune & Stratton Inc, 1978, pp 3-23.

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Dec 1, 1982

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