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Journal of Ultrasound in Medicine, Vol 12, Issue 9 531-535, Copyright © 1993 by American Institute of Ultrasound in Medicine

JOURNAL ARTICLE

Use of ultrasound in the detection of occult bowel perforation in neonates

S. F. Miller, J. J. Seibert, D. L. Kinder and A. R. Wilson
Department of Radiology, Arkansas Children's Hospital, University of Arkansas for Medical Sciences, Little Rock.

Intestinal perforation is a common and serious complication of NEC in neonates. Plain film evidence often is absent in patients with surgically proved perforation. Some patients with NEC develop a distended, gasless abdomen suitable for sonographic evaluation. Five neonates with gasless abdominal distention and clinical decline were studied with ultrasonography. Four patients demonstrated intraperitoneal fluid-debris levels and ascites; all had surgical proof of perforation. The fifth patient did not demonstrate these findings and subsequently recovered. The sonographic findings of ascites and intraperitoneal fluid-debris levels in patients with NEC are suggestive of perforation.


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