UMEM Educational Pearls

Category: Pediatrics

Title: Necrotizing Enterocolitis

Posted: 10/28/2010 by Rose Chasm, MD (Emailed: 10/29/2010)
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Necrotizing Enterocolitis

  • NEC is an inflammatory lesion of bowel which can progress to intestinal gangrene, with perforation, and /or peritonitis
  • characterized by abdominal distension, feeding difficulties, and GI bleeding
  • mainly affects pre-term infants, and most commonly affects distal ileum and proximal colon
  • usually presents during the first 2 weeks of life, but may occur up to 3 months of age in infants who who born weighing <1000grams
  • classic finding on abdominal XR is pneumatosis intestinalis or air in the bowel wall (pathognomonic) and is present 50-75% of the time
  • treat emergently with nasogastric decompression, IVF recussitation, NPO, and IV antibiotics


MedStudy Board Review

Pediatrics Core Curriculum