Necrotising Enterocolitis

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  • More common in premature infants
  • Sites
    • Terminal ileum
    • Caecum
    • Distal colon

Presentation

  • abdomen tense and distended
  • mucus and blood PR
  • erythema of bowel wall
    • suggests full thickness necrosis of bowel with peritonitis

Pathology

  1. mesenteric ischaemia
  2. bacterial invasion of mucosa
  3. sepsis

Investigation

  • AXR
    • distended loops of intestine
    • gas bubbles in bowel wall (intramural gas)
 

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