JPSB logo
Association of Paediatric Surgeons of Bangladesh
Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 6 No. 2 (2015)

Abdominal Ultrasonography and Radiography Diagnosis in Preterm Necrotizing Enterocolitis

Cover
JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : July 2015
CONTENTSVolume 06Number 2July 2015
Editorial
Counselling of Parents, attendants, guardians in dealing of Paediatric Surgical Patients
Kazi Habibur Rahman
32
Review Articles
Hemophilia in Children
Shahnoor Islam, AKM Amirul Morshed, Zohora Jameela Khan
54
Original Articles
Three Years Experience of Inguinal Hernia in Children in BSMMU
Shoheli Alam, KM Didarul Islam, Abu Saleh Md Oli Ullah, Md Tosaddeque Hossain Siddiqui, Md Ruhul Amin
34
Outcome of Partial Splenectomy for Hypersplenism in Children with Thalassemia
Mizanur Rahman, Susankar Kumar Mondal, Amin Lutful Kabir, Md Ruhul Amin, Matiur Rahman
39
Abdominal Ultrasonography and Radiography Diagnosis in Preterm Necrotizing Enterocolitis
S Tuya, Ch Battulga, TS Tsogtsolmaa, M Tumennasan, N Davaatseren, Kaniz Hasina
47
Case Reports
Spinal Primitive Neuroectodermal Tumor in Children A rare case report and literature review
AKM Amirul Morshed, Shahnoor Islam, Sayeeda Anwar
64
The Official Journal of the
ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
View Contents

Authors

  • S TuyaProfessor of Paediatric Surgery, NCMCH
  • Ch BattulgaProfessor of Paediatric Surgery, NCMCH
  • TS TsogtsolmaaProfessor of Paediatric Surgery, NCMCH
  • M TumennasanProfessor of Paediatric Surgery, NCMCH
  • N DavaatserenProfessor of Paediatric Surgery, Etugen Medical University
  • Kaniz HasinaAssociate Professor, Department of Paediatric Surgery, DMCH, Dhaka

Keywords

Necrotizing enterocolitis Abdominal ultrasound radiography NEC sonogrraphic findings

Abstract

Introduction: Necrotizing enterocolitis (NEC) is a major cause of neonatal morbidity and mortality. To explore whether abdominal ultrasound (AUS) provide additional information over plain radiography in cases of necrotizing enterocolitis (NEC). Materials & Methods: This study is a prospective study of 30 premature neonates with NEC in our neonatal intensive care unit between September 2013 and November 2014. Fifteen premature control neonates were also included in the study. Results: Patients were classified into two groups: the first group with suspected NEC (stage I) (n = 14) and the second with definite NEC (stage II or III) (n = 16). In group I abdominal ultrasound (AUS) revealed intramural air (n = 9) and portal venous gas (PVG) (n = 1) while plain radiography showed only gaseous distension. In group II, intramural air (n = 10), PVG (n = 2), free fluid (n = 6) focal fluid (n = 1) and free air (n = 6) detected by AUS compared to pneumatosis intestinalis (PI) (n = 2) PVG (n = 1) and free air (n = 5) by plain radiography. Additionally bowel wall thinning was detected in 2 neonates of group I and 3 of group II. Conclusion: Our results suggest AUS to be superior to plain radiography in early detection of complication as intestinal perforation by eliciting PVG and fluid collection and so early surgical management. Therefore this may decrease morbidity and mortality rates.

Journal of Paediatric Surgeons of Bangladesh (2015) Vol. 6 (2): 47–53

Read full article (PDF)