Khan Rizwan A, Narasimhan Kannan L
Department of Surgery, JN Medical College, Aligarh, India.
Ann Ital Chir. 2012 Sep-Oct;83(5):437-9; discussion 439-40.
Neonatal necrotizing enterocolitis, the most common gastrointestinal emergency in neonates, typically affects the preterm infants and carries high mortality. Classic clinical trad consists of abdominal distension, bloody stools, and pneumatosis intestinalis. Occasionally, signs and symptoms may not be classic and a number of papers have highlighted the difficulty of relying on radiological features to make a definitive diagnosis of necrotising enterocolitis. We report herein a case of neonate referred to us as a case of obstructed inguinal hernia and was diagnosed as a necrotizing enterocolitis perforation revealed by a rare manifestation of pneumoscrotum.
新生儿坏死性小肠结肠炎是新生儿最常见的胃肠道急症，通常影响早产儿，死亡率很高。典型的临床特征包括腹胀、血便和气腹。偶尔，体征和症状可能不典型，许多论文都强调了依靠放射学特征来明确诊断坏死性小肠结肠炎的困难。我们在此报告一例新生儿，最初因腹股沟疝嵌顿转诊至我院，最终诊断为坏死性小肠结肠炎穿孔，其罕见表现为阴囊积气。
