title: Systemic arterial pneumatosis in a neonate with necrotizing enterocolitis.
abstract: 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.
authors: Division of Radiology, Cleveland Clinic Children's Hospital, Hb6, 9500 Euclid Avenue, Cleveland, OH 44195, USA. morriss@ccf.org
authors: Stuart C
authors: SC
authors: Morrison
authors: Janet R
authors: JR
authors: Reid
authors: Mark
authors: M
authors: Harrison
authors: Suzanne
authors: S
authors: Golz
mesh_terms: 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