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Updated: Oct 1, 2025

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
Published on: April 7, 2023
Neonatal gastrointestinal emergencies: a radiological review
Luis Octavio Tierradentro-Garcia1, Colbey W Freeman2, Makhethe Vuma1
1Department of Radiology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Neonatal gastrointestinal emergencies require prompt diagnosis via imaging. Radiography and ultrasonography are preferred due to radiation concerns, guiding urgent surgical intervention for critically ill infants.
Area of Science:
- Pediatric Surgery
- Diagnostic Imaging
- Neonatal Care
Background:
- Neonatal abdominal emergencies necessitate surgical intervention, carrying risks of perforation, sepsis, shock, and mortality.
- Radiological imaging is crucial for rapid diagnosis in these critical cases.
Purpose of the Study:
- To review common neonatal gastrointestinal emergencies.
- To discuss optimal imaging modalities for diagnosis.
- To illustrate typical radiological findings.
Main Methods:
- Literature review of neonatal gastrointestinal emergencies and their imaging characteristics.
- Analysis of diagnostic utility of various radiological techniques.
Main Results:
- Radiography and ultrasonography are primary diagnostic tools due to neonates' sensitivity to radiation.
- Advanced imaging like CT and MRI have limited, specific applications.
Conclusions:
- Familiarity with basic radiological findings is essential for emergency department providers, especially with limited radiologist availability.
- Minimizing ionizing radiation exposure is paramount in neonatal imaging.
- Early recognition of gastrointestinal emergencies through imaging aids timely surgical management.
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