Bedside ultrasound in the early diagnosis of necrotising enterocolitis: A strategy to improve the prognosis?

Oulego-Erróz, Ignacio; Terroba-Seara, Sandra; Alonso-Quintela, Paula; Jiménez-Gónzález, Aquilina; Ardela-Díaz, Erick

doi:10.1016/j.anpede.2020.01.013

Cited by 2 publications

(3 citation statements)

References 5 publications

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“…Bedside or point-of-care ultrasound (POCUS) has increased in popularity in recent years, especially in emergency medicine departments and intensive care units in low and middle incomes countries [ 7 - 9 ]. This case demonstrated that POCUS played an important role in our patient, which was not only helpful in detecting critical ductal-dependent congenital heart disease, but also detected necrotizing enterocolitis and systemic air embolism.…”

Section: Discussionmentioning

confidence: 99%

“…Its occurrence as a consequence of necrotizing enterocolitis is extremely rare and the diagnosis of necrotizing enterocolitis remains challenging [1,2,5]. Hence, bedside ultrasound may be a potential clinical adjunct which can be used for early diagnosis and prompt appropriate targeted management [7][8][9]. In this case report, we describe a neonate with a ductdependent congenital heart disease who presented with obstructive shock at day 6 of life and later developed necrotizing enterocolitis complicated by systemic air embolism at day 20 of life at Paediatric Intensive Care Unit.…”

Section: Introductionmentioning

confidence: 99%

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Bedside Ultrasound Detection of Systemic Air Embolism Secondary to Fulminant Necrotizing Enterocolitis in a Neonate With Congenital Heart Disease: A Case Report

Cheong¹,

Ong²,

Chor³

2022

Cureus

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Systemic air embolism is a rarely reported complication of necrotizing enterocolitis in the neonatal population. It carries significant morbidity and mortality. We report a 6-day-old, term female neonate with a duct-dependent (systemic) congenital heart disease (interrupted aorta with patent ductus arteriosus and ventricular septal defect) who presented in extremis. The neonate was successfully resuscitated, mechanically ventilated, and put on intravenous prostaglandins in paediatric intensive care unit. She clinically improved but later she developed necrotizing enterocolitis which was complicated by systemic air embolism; both of which were identified by bedside ultrasound. Her condition deteriorated and she succumbed due to these complications.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Bedside Ultrasound Detection of Systemic Air Embolism Secondary to Fulminant Necrotizing Enterocolitis in a Neonate With Congenital Heart Disease: A Case Report

Cheong¹,

Ong²,

Chor³

2022

Cureus

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“…A diferencia de la radiografía, la ecografía permite valorar de forma objetiva los cambios evolutivos en la pared intestinal (engrosamiento e hiperemia seguido de adelgazamiento e isquemia) permitiendo anticiparse a la perforación 19 .…”

Section: Métodounclassified

Asociación de hallazgos ultrasonográficos abdominales en recién nacidos pretérmino con enterocolitis necrosante

Ferrusquía-Jiménez,

Gómez-Rodríguez,

Carballo-Magdaleno

et al. 2024

ARM

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Objetivo: Conocer la asociación de hallazgos del ultrasonido abdominal en recién nacidos pretérmino con enterocolitis necrosante (ECN). Método: Estudio transversal, analítico, pacientes con ECN. Se realizó ultrasonido abdominal: líquido libre, pared intestino grueso más de 2.5 mm, pared intestino delgado menos de 1.1 mm, gas en vena porta, neumatosis intestinal, disminución y/o ausencia de peristalsis, aumento y/o ausencia de perfusión sanguínea intestinal. Se utilizó chi cuadrada, U de Mann-Whitney para asociación hallazgos ecográficos y ECN, alfa < 0.05, programa SPSS v.23. Resultados: 37 pacientes. Estadio IA: pared de intestino delgado menor de 1.1 mm fueron 15 (40%) pacientes, líquido libre 13 (35%), peristalsis disminuida 11 (29%), ausencia de peristalsis en algunas zonas 8 (21%). Estadio IB: líquido libre y perfusión sanguínea aumentada 2 (5%). Estadio IIA: peristalsis disminuida 7 (18%), pared de intestino delgado menor de 1.1 mm 4(10%), líquido libre 3(8.%), neumatosis 2 (5%), perfusión sanguínea ausente 1 (2%). Estadio IIIA: 1(2%) líquido libre, adelgazamiento de pared de intestino delgado menor de 1.1 mm, ausencia de peristalsis, perfusión sanguínea ausente. Conclusión: Existe asociación de los hallazgos ultrasonográficos en pacientes con ECN. El más frecuente fue adelgazamiento de la pared intestinal de intestino delgado, líquido libre y peristalsis disminuida, sería útil como método diagnóstico para toma de decisiones médico quirúrgico.

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Bedside ultrasound in the early diagnosis of necrotising enterocolitis: A strategy to improve the prognosis?

Cited by 2 publications

References 5 publications

Bedside Ultrasound Detection of Systemic Air Embolism Secondary to Fulminant Necrotizing Enterocolitis in a Neonate With Congenital Heart Disease: A Case Report

Bedside Ultrasound Detection of Systemic Air Embolism Secondary to Fulminant Necrotizing Enterocolitis in a Neonate With Congenital Heart Disease: A Case Report

Asociación de hallazgos ultrasonográficos abdominales en recién nacidos pretérmino con enterocolitis necrosante

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