2023年6月3日 · Spontaneous intestinal perforation of the newborn, also known as focal intestinal perforation or isolated perforation, is a single intestinal perforation typically occurring at the terminal ileum. It is a life-threatening condition that affects very low birth weight infants (birth weight <1500 g) and deficient birth weight infants (birth weight ...

Specific signs on supine abdominal X-ray could be used to confirm perforation in neonates with NEC with 86.73% sensitivity and 100% specificity. Keywords: child health, gastroenterology, neonatology

2023年3月23日 · AP supine radiograph for neonates is a mobile examination performed on the neonatal unit. It can be taken as a standalone projection or as part of a series including a left lateral decubitus x-ray in cases of suspected perforation. It is important for the image to be free from movement artifact and rotation.

2018年5月1日 · In suspected neonatal obstruction the first step is an abdominal radiograph. On the radiograph an obstruction can only be diagnosed if the bowel has had sufficient time to become air-filled after birth. The table shows the normal progression of …

2024年4月3日 · Spontaneous intestinal perforation (SIP; also referred to as isolated perforation or focal intestinal perforation [FIP]) of the newborn is a single intestinal perforation that is typically found at the terminal ileum .

2017年2月4日 · Intestinal perforation can occur as a complication of the neonatal small left colon syndrome, a condition producing signs and symptoms of low colonic obstruction. Radiographic examination of the abdomen shows multiple dilated small-bowel loops and sometimes visualization of dilated ascending and transverse portions of the colon.

Abdominal emergencies in neonates require surgical management in almost all cases and complications may include bowel perforation, sepsis, shock, and even death. Radiological imaging has become a very important aid in the clinical setting as it shortens time to diagnosis.

In utero intestinal perforation with leakage causes meconium peritonitis, evidence of which can be seen on abdominal X-ray taken in the neonatal period as intra-peritoneal calcifications. Calcifications can be seen along with features of free intra-peritoneal air.

2018年3月12日 · If there is clinical concern for perforation, ischemia, or obstruction, a left lateral decubitus or cross-table lateral view may be obtained to evaluate for free intraperitoneal or portal venous gas and differential air-fluid levels. Rectal gas is best assessed with a prone view.

2022年9月2日 · Spontaneous intestinal perforation should be considered in the premature neonate presenting with abdominal wall discoloration, distention, and a large volume of intraperitoneal free air. An abdominal radiograph can be used for diagnosis, showing free intraperitoneal air. In contrast to NEC, pneumatosis intestinalis is not present.