Wed3November0840PM 1

With regard to neonatal necrotising enterocolitis is it true that the following radiological signs may be used to confirm the diagnosis?

True / False

Pneumatosis intestinalis Correct

Pneumoperitonium Correct

Collapsed bowel loops Correct

Unaltered gas-filled loop of bowel ("fixed loop") Incorrect answer selected

Portal venous gas Correct

Explanation

Necrotising enterocolitis (NEC) is a common cause of morbidity in premature infants and needs intensive care for a long period.

Patients may suffer from:

Feeding intolerance

Increased gastric residuum

Abdominal distension

Blood in stool, and

Hypotension.

Radiographic signs of NEC include:

Dilated bowel loops

Paucity of gas

A "fixed loop"

Pneumatosis intestinalis

Portal venous gas, and

Pneumoperitoneum.

Pneumatosis intestinalis is a diagnostic finding on plain x ray.

Answer Statistics

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Average score: 79.62%

Times answered: 263