Sonographic Detection of Portal Venous Gas in Infants with Necrotizing Enterocolitis

Overview

Journal AJR Am J Roentgenol

Specialties Oncology
Radiology

Date 1984 Nov 1

PMID 6385670

Citations 33

Authors

C R MERRITT

J P Goldsmith

M J Sharp

Affiliations

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Abstract

A characteristic pattern of hepatic parenchymal and portal venous abnormalities was seen with sonography in 12 infants with necrotizing enterocolitis (NEC). In five cases these changes were seen before any radiographic abnormalities were observed. Sonography of 232 infants without NEC did not show these changes. The sonographic abnormalities are believed to be caused by small amounts of gas within the portal venous system and hepatic parenchyma. Because of the simplicity of the sonographic examination and the sensitivity and specificity of the findings, abdominal sonography may be of great value in the early evaluation of infants suspected of having NEC.

Citing Articles

Degree of Uncertainty in Reporting Imaging Findings for Necrotizing Enterocolitis: A Secondary Analysis from a Pilot Randomized Diagnostic Trial.

Cuna A, Rathore D, Bourret K, Opfer E, Chan S Healthcare (Basel). 2024; 12(5).

PMID: 38470621 PMC: 10931429. DOI: 10.3390/healthcare12050511.

Point-of-care Ultrasound to Diagnose and Monitor the Course of Necrotizing Enterocolitis.

Chetan C, Garegrat R, Hazarika J, Maheshwari A, Suryawanshi P Newborn (Clarksville). 2023; 2(3):203-213.

PMID: 37974931 PMC: 10653205. DOI: 10.5005/jp-journals-11002-0070.

Neonatologist-performed point-of-care abdominal ultrasound: What have we learned so far?.

Priyadarshi A, Rogerson S, Cruzado R, Crow A, Hinder M, Popat H Front Pediatr. 2023; 11:1173311.

PMID: 37187587 PMC: 10175674. DOI: 10.3389/fped.2023.1173311.

Imaging for Diagnosis and Assessment of Necrotizing Enterocolitis.

Mishra V, Cuna A, Singh R, Schwartz D, Chan S, Maheshwari A Newborn (Clarksville). 2023; 1(1):182-189.

PMID: 36864828 PMC: 9976546. DOI: 10.5005/jp-journals-11002-0002.

Hepatic portal venous gas without definite clinical manifestations of necrotizing enterocolitis in a 3-day-old full-term neonate: A case report.

Yuan K, Chen Q, Zhu Y, Luo F World J Clin Cases. 2021; 9(30):9269-9275.

PMID: 34786413 PMC: 8567523. DOI: 10.12998/wjcc.v9.i30.9269.