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Early onset necrotizing enterocolitis (NEC) in premature twins
Journal of Neonatal-Perinatal Medicine
|March 18, 2017
Summary
Early necrotizing enterocolitis in twin infants was rare, presenting with bloody stools. Cow's milk protein sensitivity is a potential cause for this non-infectious colitis, resolving with amino-acid based formula.
Area of Science:
- Neonatal Medicine
- Pediatric Gastroenterology
- Clinical Case Study
Background:
- Twin infants born prematurely (34 weeks gestation) presented with frank bloody stools on day three of life.
- Initial workup for sepsis was negative, but abdominal X-rays revealed pneumatosis in the colon.
- Bloody stools recurred in one twin upon reintroduction of breast milk.
