Fig 55 - uploaded by Ivy Lin
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3 Abdominal radiograph: (a) Normal bowel gas pattern, with non-dilated loops of bowel. (b) Demonstrates mild diffuse gaseous bowel distention, which can be the first abnormality seen in an infant with early NEC. (c) and (d) show pneumatosis intestinalis (white arrows), which linear lucencies within the bowel wall. (d) also demonstrates extensive portal venous gas throughout the liver (arrowheads). (e) Pneumatosis intestinalis (arrow) and pneumoperitoneum (arrowheads) are seen on this cross-table lateral radiograph of an infant with perforated NEC. (f) shows a magnified view of peripheral linear lucencies of pneumatosis intestinalis. (g) Large pneumoperitoneum is demonstrated with the falcifom ligament (black arrow) and subdiaphragmatic lucency (arrowheads) which combine to create the "football sign." (h) demonstrates marked subdiaphragmatic lucency (white arrowheads) of massive free air and Rigler's sign (double-wall sign, the air is present on both sides of the intestine) (black arrowheads) are demonstrated. (i) demonstrates pneumatosis intestinalis (white arrows) and branching and linear lucencies of portal venous gas (black arrow)
Source publication
This chapter addresses the gastrointestinal complications that can occur in pediatric cardiac intensive care unit. Gastrointestinal complications are not uncommon in the critically ill cardiac patients and are associated with prolong ICU stay and hospital length of stay as well as poor growth and development.
