Correlapaedia - a Correlative Encyclopedia of Pediatric Imaging, Surgery, and Pathology
The patient was a former 27 week premature female, now 18 days old. In the last 8 hours the patient underwent rapid clinical deterioration, developing abdominal distension and going from a non ventilated state to requiring high frequency ventilation. Ventilation was very difficult, secondary to the abdominal distension.
Clinical Physical Exam:
Clinical Differential Diagnosis:
Outside abdominal films from day of admission (not available) showed portal venous gas and pneumatosis intestinalis. No free air was seen.
Imaging Differential Diagnosis:
The patient was taken emergently to the operating room for an exploratory laparotomy through a transverse umbilical incision. Cloudy fluid was encountered. The bowel was noted to be white and necrotic throughout its entire length from the duodenum to the colon. Total necrosis of the intestines was seen, secondary to necrotizing enterocolitis. There was no salvageable bowel. The abdomen was closed.
Follow-up and Prognosis:
The patient expired one day post operatively.
Please send us comments by filling out our Comment Form.
All contents copyright © 1992-2013 Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. and the authors. All rights reserved.
"Virtual Pediatric Hospital", the Virtual Pediatric Hospital logo, and "A digital library of pediatric information" are all Trademarks of Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D.
Virtual Pediatric Hospital is funded in whole by Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. Advertising is not accepted.
Your personal information remains confidential and is not sold, leased, or given to any third party be they reliable or not.
The information contained in Virtual Pediatric Hospital is not a substitute for the medical care and advice of your physician. There may be variations in treatment that your physician may recommend based on individual facts and circumstances.
This site complies with the HONcode standard for trustworthy health information: