Ergaz Zivanit, Arad Ilan, Simanovsky Natalia
Department of Neonatology, Hadassah University Hospital, Mt. Scopus, Jerusalem, Israel.
Fetal Pediatr Pathol. 2006 May-Jun;25(3):147-50. doi: 10.1080/15513810600908271.
During the neonatal period, pneumatosis intestinalis (PI) and portal venous gas (PVG) are pathognomonic of necrotizing enterocolitis (NEC). Rare cases of such findings evolving after abdominal trauma have been reported in adults and children, but none in premature infants. We report a case of a 3-week-old premature infant where both PI and PVG were found following a fall from a scale. The presence of these findings prior to the evolvement of clinical symptoms suggestive of NEC strongly supports a traumatic etiology.
在新生儿期，肠壁积气（PI）和门静脉积气（PVG）是坏死性小肠结肠炎（NEC）的特征性表现。成人和儿童中曾有腹部创伤后出现此类表现的罕见病例报道，但早产儿中尚未见报道。我们报告一例3周大的早产儿，其从秤上摔落后出现了肠壁积气和门静脉积气。在出现提示坏死性小肠结肠炎的临床症状之前就存在这些表现，有力地支持了创伤性病因。
