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Updated: Jun 10, 2026

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Modeling Encephalopathy of Prematurity Using Prenatal Hypoxia-ischemia with Intra-amniotic Lipopolysaccharide in Rats
Published on: November 20, 2015
[A premature neonate with a big belly]
Jeroen Wouters1, C M Frank Kneepkens
1VU medisch centrum, Afd. kindergeneeskunde, Amsterdam, the Netherlands.
Nederlands Tijdschrift Voor Geneeskunde
|August 12, 2010
Summary
A premature infant showed signs of necrotizing enterocolitis, including vomiting, abdominal distention, and rectal bleeding. Diagnosis was confirmed by pneumatosis intestinalis on X-ray, a key indicator of this serious condition.
Area of Science:
- Neonatal Medicine
- Pediatric Gastroenterology
- Medical Imaging
Background:
- Premature neonates are at increased risk for gastrointestinal complications.
- Early recognition of necrotizing enterocolitis is crucial for timely intervention.
- Abdominal symptoms in neonates warrant thorough diagnostic evaluation.
Observation:
- A premature infant presented with acute abdominal symptoms: vomiting, distention, and rectal bleeding.
- Plain abdominal X-ray revealed pneumatosis intestinalis, characterized by gas within the bowel wall.
Findings:
- Pneumatosis intestinalis is a hallmark radiographic sign associated with necrotizing enterocolitis.
- The clinical presentation and radiographic findings strongly suggest necrotizing enterocolitis in this neonate.
Implications:
- This case highlights the importance of prompt diagnosis of necrotizing enterocolitis in premature infants.
- Early detection through imaging like X-ray can guide critical management decisions.
- Understanding these signs aids in improving outcomes for affected neonates.
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