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Clinical Manifestations:
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Related Experiment Video

Updated: May 16, 2025

A Novel Human Epithelial Enteroid Model of Necrotizing Enterocolitis
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Necrotising enterocolitis in adults: a rare occurrence.

Summi Karn1, Karamveer Singh2, Krishna Rajakumar1

  • 1Department of General Surgery, All India Institute of Medical Sciences, Rishikesh, Rishikesh, Uttarakhand, India.

BMJ Case Reports
|May 5, 2025
PubMed
Summary

Adult necrotising enterocolitis (ANEC) is rare but life-threatening. This case report highlights diagnostic challenges and emphasizes the need for early diagnosis and management of ANEC in adults, differentiating it from the neonatal form.

Keywords:
GastroenterologyGastrointestinal surgery

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Area of Science:

  • Gastroenterology
  • Critical Care Medicine
  • Surgical Pathology

Background:

  • Necrotising enterocolitis (NEC) is a severe intestinal condition primarily affecting preterm infants.
  • Adult NEC (ANEC) is a rare and often undiagnosed condition with significant mortality.
  • Timely diagnosis and intervention are critical for improving outcomes in ANEC.

Purpose of the Study:

  • To report a case of ANEC in an elderly patient.
  • To emphasize the diagnostic challenges associated with ANEC.
  • To highlight key differences between neonatal NEC and ANEC.

Main Methods:

  • Case report of an octogenarian patient presenting with acute abdomen.
  • Clinical and radiological evaluation for acute abdominal conditions.
  • Surgical and pathological confirmation of ANEC.

Main Results:

  • The patient was diagnosed with ANEC, a rare condition in adults.
  • The case illustrated significant diagnostic difficulties.
  • Key distinctions between neonatal NEC and ANEC were identified.

Conclusions:

  • ANEC is a rare but critical diagnosis in adults presenting with acute abdomen.
  • Early recognition and prompt management are essential for reducing mortality in ANEC.
  • Further research is needed to understand and manage ANEC effectively.