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NEC case

Ahmed Nabil1794482713
in Necrotizing enterocolitis

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7 days old ,PT 36 weeks . W; 1.7 KG. has PDA on paracetamol. was on oral feeding, has get sudden abdominal distension.

WBC: 10000, Platelets: 270000. PH: 7.31, HCO3: 25 ,

abdomen X RAY revaled pneumoperitoneum. How to manage ?

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Disclaimer: this is not my case, this case from Saudi pediatric surgery club, only to test forums

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    • Like 2
    Exploration laparotomy, If very unwell 2 counter incisions and drain
    Exploration laparotomy, If very unwell 2 counter incisions and drain

    Well said, pneumoperitoneum is an absolute indication for intervention in NEC either with laparotomy or drain according to baby condition

    •
    • Like 2
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