neonatal pneumoperitoneum
Fokale
intestinale Perforation bei einem Neugeborenen mit massiv freier Luft intraabdominell.
The causes of neonatal pneumoperitoneum are different from adult pneumoperitoneum and include:
- perforated hollow viscus
- necrotizing enterocolitis (NEC): most common
- Fokale Intestinale Perforation (FIP)
- meconium ileus in cystic fibrosis
- Hirschsprung disease
- intestinal atresia or web
- peptic ulcer disease
- iatrogenic
- intubation/mechanical ventilation
- rectal thermometer
- enema
Radiographic features
Although these are essentially the same as in adults, erect chest X-rays are not obtained, and thus the diagnosis should be made with supine films. Additional horizontal cross table shoot through films or left decubitus shoot though films may be performed.
Signs
Siehe auch:
- Fokale Intestinale Perforation (FIP)
- Rigler-Zeichen
- Nekrotisierende Enterokolitis
- Mekoniumileus
- freie Luft
- zystische Fibrose
- Morbus Hirschsprung
- football sign
und weiter:
Assoziationen und Differentialdiagnosen zu Pneumoperitoneum beim Neugeborenen: