title: An unusual presentation of necrotizing enterocolitis on an echocardiogram.
abstract: This report describes the spontaneous intracardiac air contrast found on the echocardiogram of a 5 day-old term neonate with Down syndrome and a complete atrioventricular septal defect who had experienced sudden-onset tachypnea and systemic desaturation. The stream of air contrast was tracked coming from the hepatic veins, and a diagnosis of necrotizing enterocolitis was suspected. An abdominal radiograph and ultrasound confirmed the diagnosis.
authors.affiliation: Section of Pediatric Cardiology, Department of Pediatrics, Arkansas Children's Hospital, University of Arkansas for Medical Sciences, Little Rock, AR 72202, USA. bpabraham@uams.edu
authors.forename: Boban P
authors.initials: BP
authors.lastname: Abraham
authors.forename: Ritu
authors.initials: R
authors.lastname: Sachdeva
authors.forename: Priyanka G
authors.initials: PG
authors.lastname: Vyas
authors.forename: R
authors.initials: R
authors.lastname: Thomas Collins
mesh_terms: D003287:Contrast Media; D004314:Down Syndrome; D004452:Echocardiography; D020345:Enterocolitis, Necrotizing / Q000000981:diagnostic imaging*; D006330:Heart Defects, Congenital / Q000000981:diagnostic imaging*; D006801:Humans; D007231:Infant, Newborn
chemical_list: D003287:Contrast Media