Neonatal pneumoperitoneum secondary to perforated necrotizing enterocolitis
Diagnosis certain
Presentation
8 day male presenting with distended abdomen and metabolic acidosis, born at 29+3 weeks.
Patient Data
Age: 8 days
Gender: Male
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The lungs are small in volume with granular appearances, which are in keeping with respiratory distress syndrome.
The bowel has a bubbly appearance suspicious for necrotizing enterocolitis/pneumatosis.
Case Discussion
AP supine and lateral X-rays taken of 8 day male neonate born at 29+3 weeks, presenting with abdominal distention and worsening metabolic acidosis. X-rays demonstrate necrotizing enterocolitis with perforation, and resulting pneumoperitoneum (seen as the football sign on AP view with visible falciform ligament, and elucidated on lateral film). This child was transferred to a tertiary neonatal center for follow up care.
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