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Enteric fistula formation secondary to necrotizing enterocolitis
T L Levin1, P W Brill, P Winchester
1Department of Radiology, New York Hospital-Cornell Medical Center, New York.
Pediatric Radiology
|January 1, 1991
Summary
Necrotizing enterocolitis can lead to enterocolonic fistulas, often caused by ischemia. Diagnosis is typically confirmed using upper gastrointestinal series and contrast enema imaging.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Neonatal Medicine
Background:
- Necrotizing enterocolitis (NEC) is a severe gastrointestinal emergency in neonates.
- Enterocolonic fistula is a rare but serious complication of NEC.
Observation:
- This report details two new cases of enterocolonic fistula post-NEC.
- A review of six previously documented cases is included.
Findings:
- The primary suspected etiology for these fistulas is an ischemic mechanism.
- Diagnostic imaging modalities employed include upper gastrointestinal series and contrast enema.
Implications:
- Understanding the ischemic basis of NEC-associated fistulas can inform preventative strategies.
- Accurate diagnostic imaging is crucial for timely intervention and management of these complex cases.