X-ray abdomen of neonate shows:
High-Yield Explanation
Ans. (c) Pneumatosis intestinalis.* The finding of pneumatosis intestinalis (air in the bowel wall) confirms the clinical suspicion of NEC and is diagnostic; 50-75% of patients have pneumatosis when treatment is started.* NEC is the most common life-threatening emergency of the gastrointestinal tract in the new-born period.* The greatest risk factor for NEC is prematurity.* Pneumatosis Intestinalis is seen modified Bell staging class 2A* Pneumoperitoneum is seen in modified Bell staging class 3B* Portal venous gas is a sign of severe disease, and pneumoperitoneum indicates a perforation.* Hepatic ultrasonography may detect portal venous gas despite normal abdominal roentgenograms. Image source. style="text-decoration: underline; color: rgba(17, 85, 204, 1); font-family: Times New Roman, Times, serif">638.jpg?cb=1363698022