Necrotizing enterocolitis - Revision history

Ostermayer: Prepared the page for translation

2026-01-04T23:47:38Z

Prepared the page for translation

← Older revision		Revision as of 23:47, 4 January 2026
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			<languages/>
			<translate>

	==Background==		==Background==

	*Abbreviation: NEC		*Abbreviation: NEC
	*Intestinal necrosis in previously well infant		*Intestinal necrosis in previously well infant
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	*Predominantly affects preemies; 10-15% occurs in full-term patients		*Predominantly affects preemies; 10-15% occurs in full-term patients
	*Bacterial overgrowth in bowel, translocation of bacteria into bowel wall, subsequent bacterial endotoxin and gas production		*Bacterial overgrowth in bowel, translocation of bacteria into bowel wall, subsequent bacterial endotoxin and gas production


	==Clinical Features==		==Clinical Features==
	*[[Failure to thrive (peds)\|Poor feeding]], [[altered mental status (peds)\|lethargy]], [[abdominal pain\|abdominal distention/tenderness]]
	*[[Sepsis]], pneumoperitoneum		*[[Special:MyLanguage/Failure to thrive (peds)\|Poor feeding]], [[Special:MyLanguage/altered mental status (peds)\|lethargy]], [[Special:MyLanguage/abdominal pain\|abdominal distention/tenderness]]
			*[[Special:MyLanguage/Sepsis\|Sepsis]], pneumoperitoneum


	==Differential Diagnosis==		==Differential Diagnosis==

			</translate>
	{{Pediatric abdominal pain DDX}}		{{Pediatric abdominal pain DDX}}
			<translate>


	==Evaluation==		==Evaluation==

	[[File:Necrotizing enterocolitis 202.jpg\|thumb\|Neonate with necrotizing enterocolitis.]]		[[File:Necrotizing enterocolitis 202.jpg\|thumb\|Neonate with necrotizing enterocolitis.]]
	[[File:PMC3800332 IJA-57-387-g001.png\|thumb\|Left: [[KUB]] with pneumatosis intestinalis (large arrow) a specific finding in necrotizing enterocolitis. Right: follow-up film showing free air indicating bowel perforation (small arrow).]]		[[File:PMC3800332 IJA-57-387-g001.png\|thumb\|Left: [[Special:MyLanguage/KUB\|KUB]] with pneumatosis intestinalis (large arrow) a specific finding in necrotizing enterocolitis. Right: follow-up film showing free air indicating bowel perforation (small arrow).]]

	===Work-Up===		===Work-Up===

	*CBC		*CBC
	*Chem		*Chem
	*[[Sepsis (peds)\|Sepsis]] evaluation		*[[Special:MyLanguage/Sepsis (peds)\|Sepsis]] evaluation
	*Coags		*Coags
	*Stool +/- heme positive		*Stool +/- heme positive


	===Radiography===		===Radiography===

	*Pneumatosis on XR is hallmark		*Pneumatosis on XR is hallmark
	**Get [[KUB]] in supine position and left lat decubitus		**Get [[Special:MyLanguage/KUB\|KUB]] in supine position and left lat decubitus
	*[[Ultrasound: Abdomen\|Ultrasound]]		*[[Ultrasound: Abdomen\|Ultrasound]]
	**Pseudo-kidney sign - bowel wall with hyperechoic center and hypoechoic rim		**Pseudo-kidney sign - bowel wall with hyperechoic center and hypoechoic rim
	**Assess for gas bubbles in liver and portal veins		**Assess for gas bubbles in liver and portal veins


	==Management==		==Management==

	#NPO		#NPO
	#Aggressive [[IVF\|IV hydration]]		#Aggressive [[Special:MyLanguage/IVF\|IV hydration]]
	#[[Ampicillin]] + [[gentamicin]] + [[clindamycin]]		#[[Special:MyLanguage/Ampicillin\|Ampicillin]] + [[Special:MyLanguage/gentamicin\|gentamicin]] + [[Special:MyLanguage/clindamycin\|clindamycin]]
	#Surgery consult		#Surgery consult


	==Disposition==		==Disposition==

	*Admit		*Admit


	==See Also==		==See Also==
	*[[Abdominal pain (peds)]]
			*[[Special:MyLanguage/Abdominal pain (peds)\|Abdominal pain (peds)]]


	==References==		==References==

	<references/>		<references/>

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	[[Category:GI]]		[[Category:GI]]
	[[Category:Surgery]]		[[Category:Surgery]]
			</translate>

Rossdonaldson1: /* See Also */

2021-10-07T22:17:02Z

Rossdonaldson1: /* Evaluation */

2021-10-07T22:16:23Z

Evaluation

← Older revision		Revision as of 22:16, 7 October 2021
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	==Evaluation==		==Evaluation==
	[[File:Necrotizing enterocolitis 202.jpg\|thumb\|Neonate with necrotizing enterocolitis.]]		[[File:Necrotizing enterocolitis 202.jpg\|thumb\|Neonate with necrotizing enterocolitis.]]
			[[File:PMC3800332 IJA-57-387-g001.png\|thumb\|Left: [[KUB]] with pneumatosis intestinalis (large arrow) a specific finding in necrotizing enterocolitis. Right: follow-up film showing free air indicating bowel perforation (small arrow).]]
	===Work-Up===		===Work-Up===
	*CBC		*CBC

Rossdonaldson1: /* Evaluation */

2021-10-07T22:09:26Z

Evaluation

← Older revision		Revision as of 22:09, 7 October 2021
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	==Evaluation==		==Evaluation==
			[[File:Necrotizing enterocolitis 202.jpg\|thumb\|Neonate with necrotizing enterocolitis.]]
	===Work-Up===		===Work-Up===
	*CBC		*CBC

ClaireLewis: /* References */

2019-10-06T18:25:49Z

References

← Older revision		Revision as of 18:25, 6 October 2019
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	[[Category:Pediatrics]]		[[Category:Pediatrics]]
	[[Category:GI]]		[[Category:GI]]
			[[Category:Surgery]]

ClaireLewis: /* Management */

2019-09-29T23:11:19Z

Management

← Older revision		Revision as of 23:11, 29 September 2019
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	==Management==		==Management==
	#NPO		#NPO
	#Aggressive IV hydration		#Aggressive [[IVF\|IV hydration]]
	#[[Ampicillin]] + [[gentamicin]] + [[clindamycin]]		#[[Ampicillin]] + [[gentamicin]] + [[clindamycin]]
	#Surgery consult		#Surgery consult

ClaireLewis at 01:20, 15 September 2019

2019-09-15T01:20:24Z

← Older revision		Revision as of 01:20, 15 September 2019
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	==Background==		==Background==
	*~~Abreviation~~: NEC		*Abbreviation: NEC
	*Intestinal necrosis in previously well infant		*Intestinal necrosis in previously well infant
	*Typically presents in 1st week of life, with case reports to 6 months in children that are chronically ill.		*Typically presents in 1st week of life, with case reports to 6 months in children that are chronically ill.
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	==Clinical Features==		==Clinical Features==
	*Poor feeding, lethargy, abdominal distention/tenderness		*[[Failure to thrive (peds)\|Poor feeding]], [[altered mental status (peds)\|lethargy]], [[abdominal pain\|abdominal distention/tenderness]]
	*[[Sepsis]], pneumoperitoneum		*[[Sepsis]], pneumoperitoneum

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	*CBC		*CBC
	*Chem		*Chem
	*Sepsis evaluation		*[[Sepsis (peds)\|Sepsis]] evaluation
	*Coags		*Coags
	*Stool +/- heme positive		*Stool +/- heme positive
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	*Pneumatosis on XR is hallmark		*Pneumatosis on XR is hallmark
	**Get [[KUB]] in supine position and left lat decubitus		**Get [[KUB]] in supine position and left lat decubitus
	*US		*[[Ultrasound: Abdomen\|Ultrasound]]
	**Pseudo-kidney sign - bowel wall with hyperechoic center and hypoechoic rim		**Pseudo-kidney sign - bowel wall with hyperechoic center and hypoechoic rim
	**Assess for gas bubbles in liver and portal veins		**Assess for gas bubbles in liver and portal veins
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	#NPO		#NPO
	#Aggressive IV hydration		#Aggressive IV hydration
	#[[Ampicillin]] + [[~~gentamycin~~]] + [[clindamycin]]		#[[Ampicillin]] + [[gentamicin]] + [[clindamycin]]
	#Surgery consult		#Surgery consult

Adamhaag: /* Background */

2017-08-08T22:18:28Z

Background

← Older revision		Revision as of 22:18, 8 August 2017
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	*Abreviation: NEC		*Abreviation: NEC
	*Intestinal necrosis in previously well infant		*Intestinal necrosis in previously well infant
			*Typically presents in 1st week of life, with case reports to 6 months in children that are chronically ill.
	*Predominantly affects preemies; 10-15% occurs in full-term patients		*Predominantly affects preemies; 10-15% occurs in full-term patients
	*Bacterial overgrowth in bowel, translocation of bacteria into bowel wall, subsequent bacterial endotoxin and gas production		*Bacterial overgrowth in bowel, translocation of bacteria into bowel wall, subsequent bacterial endotoxin and gas production

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-24T03:35:51Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Older revision		Revision as of 03:35, 24 July 2016
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	{{Pediatric abdominal pain DDX}}		{{Pediatric abdominal pain DDX}}

	==~~Diagnosis~~==		==Evaluation==
	===Work-Up===		===Work-Up===
	*CBC		*CBC

Neil.m.young: Text replacement - "==Treatment==" to "==Management=="

2016-07-07T13:21:33Z

Text replacement - "==Treatment==" to "==Management=="

← Older revision		Revision as of 13:21, 7 July 2016
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	**Assess for gas bubbles in liver and portal veins		**Assess for gas bubbles in liver and portal veins

	==~~Treatment~~==		==Management==
	#NPO		#NPO
	#Aggressive IV hydration		#Aggressive IV hydration

← Older revision		Revision as of 22:17, 7 October 2021
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	==See Also==		==See Also==
	[[Abdominal ~~Pain~~ (~~Peds~~)]]		*[[Abdominal pain (peds)]]

	==References==		==References==