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Gastric distension in neonatal necrotising enterocolitis

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Abstract

Nine cases of neonatal necrotising enterocolitis with a combination of gastric distension, paucity of bowel gas and bowel wall oedema are presented. It is postulated that the gastric distension may either be a result of a temporary obstruction at the pyloric canal from oedema or a direct effect of bacterial toxins on ischaemic gastric mucosa. Six (66%) of the 9 infants were term and it is suggested that any newborn infant presenting with isolated gastric distension with bloody stools should be treated as a case of necrotising enterocolitis.

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Authors and Affiliations

  1. Department of Radiology, College of Medical Sciences, University of Benin, Benin City, Nigeria

    J. C. Odita

  2. Department of Child Health, College of Medical Sciences, University of Benin, Benin City, Nigeria

    J. A. Omene & A. A. Okolo

Authors
  1. J. C. Odita
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  2. J. A. Omene
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  3. A. A. Okolo
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Odita, J.C., Omene, J.A. & Okolo, A.A. Gastric distension in neonatal necrotising enterocolitis. Pediatr Radiol 17, 202–205 (1987). https://doi.org/10.1007/BF02388160

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  • DOI: https://doi.org/10.1007/BF02388160

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