Use of ultrasound in the detection of occult bowel perforation in neonates

Autor: D L Kinder, Joanna J. Seibert, A R Wilson, S F Miller
Rok vydání: 1993
Předmět:
Zdroj: Journal of Ultrasound in Medicine. 12:531-535
ISSN: 0278-4297
DOI: 10.7863/jum.1993.12.9.531
Popis: Intestinal perforation is a common and serious complication of NEC in neonates. Plain film evidence often is absent in patients with surgically proved perforation. Some patients with NEC develop a distended, gasless abdomen suitable for sonographic evaluation. Five neonates with gasless abdominal distention and clinical decline were studied with ultrasonography. Four patients demonstrated intraperitoneal fluid-debris levels and ascites; all had surgical proof of perforation. The fifth patient did not demonstrate these findings and subsequently recovered. The sonographic findings of ascites and intraperitoneal fluid-debris levels in patients with NEC are suggestive of perforation.
Databáze: OpenAIRE