Role of Abdominal Ultrasonography in the Early Diagnosis of Neonatal Necrotizing Enterocolitis
Ibrahim, S., Mohammed, M., Amen, H., Radwan, A. (2018). Role of Abdominal Ultrasonography in the Early Diagnosis of Neonatal Necrotizing Enterocolitis. EKB Journal Management System, 22(2), 183-187. doi: 10.21608/smj.2018.40116
Shymaa F Ibrahim; Mohammed A Mohammed; Hesham A Amen; Ashraf Mahmoud Radwan. "Role of Abdominal Ultrasonography in the Early Diagnosis of Neonatal Necrotizing Enterocolitis". EKB Journal Management System, 22, 2, 2018, 183-187. doi: 10.21608/smj.2018.40116
Ibrahim, S., Mohammed, M., Amen, H., Radwan, A. (2018). 'Role of Abdominal Ultrasonography in the Early Diagnosis of Neonatal Necrotizing Enterocolitis', EKB Journal Management System, 22(2), pp. 183-187. doi: 10.21608/smj.2018.40116
Ibrahim, S., Mohammed, M., Amen, H., Radwan, A. Role of Abdominal Ultrasonography in the Early Diagnosis of Neonatal Necrotizing Enterocolitis. EKB Journal Management System, 2018; 22(2): 183-187. doi: 10.21608/smj.2018.40116

Role of Abdominal Ultrasonography in the Early Diagnosis of Neonatal Necrotizing Enterocolitis

Sohag Medical Journal
Article 23, Volume 22, Issue 2, July 2018, Page 183-187  XML PDF (48.81 K)
Document Type: Original Article
DOI: 10.21608/smj.2018.40116
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Authors
Shymaa F Ibrahim1; Mohammed A Mohammed2; Hesham A Amen1; Ashraf Mahmoud Radwan3
1Department, of Pediatrics and Radiology, Faculty of Medicine, Sohag University.
2Departments, of Pediatrics and Radiology, Faculty of Medicine, Sohag University.
3Department, Faculty of Medicine,Sohag University, Sohag, Egypt.
Abstract
Introduction: Necrotizing enterocolitis (NEC) can be defined as inflammatory intestinal disease characterized by variable degree of damage to the intestinal tract, ranging from mucosal injury to full-thickness necrosis and perforation (Obladen 2009).
Aim of the work: to evaluate patients with suspected or proven NEC by abdominal and Doppler ultrasound to examine the usefulness of abdominal ultrasound and color Doppler ultrasound in early diagnosis of Necrotizing Enterocolitis.
Patients and Methods: Prospective hospital based study that is conducted at Neonatal intensive care unit (N.I.C.U) at Sohag University Hospital. The study Period is from 31th October 2015 to 30th April 2016.  All neonates with clinical, radiological findings suggesting necrotizing enterocolitis were included in the study. 
Results: A total of 20 neonates had met the inclusion criteria. Patients had variable clinical presentation, most common presentation was abdominal distension and brownish vomiting 35% of patients; 80% of patients had tense abdomen; 80% of patients had dullness of the abdomen; 80% had inaudible intestinal sounds and 20% had sluggish intestinal sounds. By Abdominal US Pneumatosis intestinalis was detected in 50% of cases in which 30% were diffuse and 20% were segmental in contrast to X ray that detected only 35% of cases (p value 0.003). Portal venous gas was detected in 25% of cases by US in comparison to only 10% by X ray with p value of 0.001.
Conclusion: Abdominal ultrasound and color Doppler ultrasound were helpful in detecting cases with early stage of NEC. Abdominal ultrasound was helpful in early detection of complication as intestinal perforation and so early surgical management; thus may decrease morbidity and mortality rates.
Keywords
Necrotizing enterocolitis; Neonates; Ultrasound; Color Doppler
Supplementary Files
References
  1. Bolisetty, S., K. Lui, J. Oei and J. Wojtulewicz (2000). "A regional study of underlying congenital diseases in term neonates with necrotizing enterocolitis." Acta Paediatrica 89(10): 1226-1230.
  2. Deeg, K., S. Wehner, T. Rupprecht and H. Singer (1987). "pulsed doppler sonography in the anterior cerebral-arteries and the truncus coeliacus in infants with coarc-tation of the aorta in comparison to a healthy control-group." klinische padiatrie 199(6): 411-423.
  3. Hashem, R. H., Y. A. Mansi, N. S. Almasah and S. Abdelghaffar (2017). "Doppler ultrasound assessment of the splanchnic circulation in preterms with neonatal sepsis at risk for necrotizing enterocolitis." J Ultrasound 20(1): 59-67.
  4. Henry, M. C. and R. L. Moss (2009). "Necrotizing enterocolitis." Annu Rev Med 60: 111-124.
  5. Kim, W. Y., W. S. Kim, I. O. Kim, T. H. Kwon, W. Chang and E. K. Lee (2005). "Sonographic evalua-tion of neonates with early-stage necrotizing enterocolitis." Pediatr Radiol 35(11): 1056-1061.
  6. Monica Epelman, M., A. Daneman, O. M. Navarro, M. Faingold, G. Taylor and J. T. Gerstle (2007). "Necrotizing Enterocolitis: Review of State-of-the-Art Imaging Find-ings with Pathologic Correlation1."
  7. Muchantef, K., M. Epelman, K. Darge, H. Kirpalani, P. Laje and S. A. Anupindi (2013). "Sonographic and radiographic imaging features of the neonate with necrotizing enterocolitis: correlating findings with outcomes." Pediatr Radiol 43(11): 1444-1452.
  8. Obladen, M. (2009). "Necrotizing enterocolitis–150 years of fruitless search for the cause." Neonatology 96(4): 203-210.
  9. Palmer, S., S. Thomas, R. Cooke, D. Low, W. Fysh, J. Murphy, G. Gandy and H. Gamsu (1987). "Birthweight-specific risk factors for necrotising enterocolitis." Journal of Epidemiology & Community Health 41(3): 210-214.
  10. Patel, R. M. and P. W. Denning (2015). "Intestinal microbiota and its relationship with necrotizing enterocolitis." Pediatric research 78(3): 232.
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