Systemic arterial pneumatosis in a neonate with necrotizing enterocolitis.
Ultrasound is exquisitely sensitive for the identification of portal vein pneumatosis, which in neonates is commonly caused by necrotizing enterocolitis. We describe the ultrasound finding of systemic arterial pneumatosis in a case of necrotizing enterocolitis associated with congenital heart disease. A combination of a patent ductus venosus and an extracardiac right-to-left shunt via the great vessels through a patent ductus arteriosus provided a pathway for the pneumatosis from the portal vein to the abdominal aorta.
Morrison
Stuart C
SC
Division of Radiology, Cleveland Clinic Children's Hospital, Hb6, 9500 Euclid Avenue, Cleveland, OH 44195, USA. morriss@ccf.org
Reid
Janet R
JR
Harrison
Mark
M
Golz
Suzanne
S
D000015:Abnormalities, Multiple / Q000000981:diagnostic imaging; D001012:Aorta, Abdominal / Q000000981:diagnostic imaging / Q000503:physiopathology; D003131:Combined Modality Therapy; D004374:Ductus Arteriosus, Patent / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy; D020345:Enterocolitis, Necrotizing / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011006:Pneumatosis Cystoides Intestinalis / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy; D011169:Portal Vein / Q000000981:diagnostic imaging / Q000503:physiopathology; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler