title: Gastric pneumatosis in a small-for-gestational-age neonate.
abstract: We describe a dysmature (small-for-gestational-age) neonate born at term with multiple congenital defects, who presented with bloody diarrhoea. The abdominal X-ray showed gastric pneumatosis. The patient was treated conservatively with intravenous fluids and antibiotics, and recovered uneventfully. The patient underwent genetic investigation, and was diagnosed with Cornelia de Lange syndrome. Gastric pneumatosis is rare, and may be the result of neonatal sepsis, gastritis, pyloric stenosis, necrotising enterocolitis of the stomach, misplacement of nasogastric tubes, or non-invasive positive pressure ventilation. Furthermore, it is speculated that gastric pneumatosis might more frequently occur with congenital, cardiac or genetic disorders.
authors.affiliation: Department of Surgery, St Elisabeth Hospital, Willemstad, Curaçao.
authors.forename: Luit
authors.initials: L
authors.lastname: Penninga
authors.affiliation: Department of Surgery, St Elisabeth Hospital, Willemstad, Curaçao.
authors.forename: Markus J
authors.initials: MJ
authors.lastname: Werz
authors.affiliation: Department of Surgery, St Elisabeth Hospital, Willemstad, Curaçao.
authors.forename: Jurrian C
authors.initials: JC
authors.lastname: Reurings
authors.affiliation: Department of Surgery, St Elisabeth Hospital, Willemstad, Curaçao.
authors.forename: David R
authors.initials: DR
authors.lastname: Nellensteijn
mesh_terms: D001724:Birth Weight; D015984:Causality; D003635:De Lange Syndrome / Q000150:complications*; D003968:Diarrhea, Infantile / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology; D020345:Enterocolitis, Necrotizing / Q000150:complications*; D005260:Female; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D007236:Infant, Small for Gestational Age; D011006:Pneumatosis Cystoides Intestinalis; D011859:Radiography; D013270:Stomach / Q000000981:diagnostic imaging / Q000473:pathology*; D013272:Stomach Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology*; D047929:Term Birth