Presentation
Premature baby presented with abdominal distension and vomiting
Patient Data
NG tube is seen in situ.
Branching lucencies are seen in hepatic region, which in a premature baby with given clinical presentation, are suggestive of necrotizing enterocolitis.
There is prominent and few dilated air filled small bowel loops in the center of the abdomen.
Needs follow up to check for fixed bowel pattern and development of pneumoperitoneum which would be a surgical emergency.
The included chest shows mild ground glass with prominent interstitial marking, in keeping with residual hyaline membrane disease.
Case Discussion
This premature baby suffering from necrotizing enterocolitis was being managed in neonatal ICU. Unfortunately, it developed grade II germinal matrix hemorrhage. Follow up radiographs were not obtained as the baby expired next morning.
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