Neonatal Necrotizing Enterocolitis: Radiological Manifistations

Objective: The aim of this study is to determine the characteristics radiological manifestations and risk factors in neonates with necrotizing enterocolitis (NEC). Methods: A prospective study over on year starting from January 2008, conducted on 55 neonates with suspected NEC admitted at Children Hospital, Cairo University. Serial X-ray for all neonates were done and assessed Results: 31 (56.4%) neonates had diffuse persistent bowel distension with no significant difference ( p=0.42). 19 (34.5%) neonates had pneumatosis intestinal with statistically significant difference (p=0.03). 6 (10.9%) neonates had pneumoperitoneam with highly statistically significant difference (p<0.01). 2 (3.6%) neonates had fixed dilated loop with highly statistically significant difference (p<0.01). 2 (3.6%) neonates had portal vein gases with highly statistically significant difference (p<0.01). Mortality rate was 22 (40%). Conclusion: Radiological data becomes available from frequent utilization of abdominal X-ray examinations for a spectrum of NEC.