| Neonatal necrotizing enterocolitis. Clinical and radiological features. | |
| | |
MedLine Citation:
|
PMID: 4813793 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Necrotizing enterocolitis is an uncommon but dangerous disease in premature infants. Ten cases, seen over a three-year period at the Stanford University Medical Center, represented an incidence of 0.4 percent. The patients, six of whom died, derived from a general population, in contrast to the large series of patients reported in the literature in which the incidence was from 0.9 percent to 3.7 percent.(3-6)The initial symptoms-rapid respiration, periodic breathing, lethargy and irritability-were identical to those which occurred in numerous infants who had respiratory disease. Subsequent symptoms (abdominal distension, in 100 percent; vomiting, 80 percent; apneic spells, 70 percent; jaundice, 70 percent; guaic-positive stools, 60 percent) were those of nonspecific acute abdominal disease. The radiologist first made the diagnosis in 90 percent of cases. Interstitial air in the wall of the gut and the retroperitoneum, and portal vein gas were the most diagnostic radiographic features. Barium contrast studies were not helpful, and in one case led to the erroneous diagnosis of small bowel volvulus. Plain abdominal radiographs must be taken of all premature infants with symptoms of nonspecific acute abdominal disease. If the radiographs are negative, but symptoms continue, they should be repeated at frequent intervals, for early diagnosis is critical to institution of proper therapy. |
| | |
Authors:
|
S A Holt; G W Friedland |
Related Documents
:
|
7796243 - Intra-abdominal extravasation complicating parenteral nutrition in infants. 17255143 - Rifampicin-impregnated central venous catheters: a meta-analysis of randomized controll... 20816003 - Safety and efficacy of galactogogues: substances that induce, maintain and increase bre... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: The Western journal of medicine Volume: 120 ISSN: 0093-0415 ISO Abbreviation: West. J. Med. Publication Date: 1974 Feb |
Date Detail:
|
Created Date: 1974-04-17 Completed Date: 1974-04-17 Revised Date: 2009-11-18 |
Medline Journal Info:
|
Nlm Unique ID: 0410504 Medline TA: West J Med Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 110-5 Citation Subset: IM |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Diagnosis, Differential Diseases in Twins Enterocolitis, Pseudomembranous / complications, pathology, radiography* Female Humans Infant, Newborn Infant, Premature, Diseases / radiography* Intestinal Obstruction / radiography Male Necrosis Prognosis |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Camouflage and the augmentation mammaplasty.
Next Document: Family planning services for adolescents and young adults.