Pneumoperitoneum beim Neugeborenen

Fokale

intestinale Perforation bei einem Neugeborenen mit massiv freier Luft intraabdominell.

Neonatal

pneumoperitoneum • Pneumoperitoneum - Ganzer Fall bei Radiopaedia

Sargent M, Pneumoperitoneum. Case study, Radiopaedia.org (Accessed on 17 May 2024) https://doi.org/10.53347/rID-6018 • CC by-nc-sa 3.0 (modified)

Necrotizing

enterocolitis • Necrotizing enterocolitis - Ganzer Fall bei Radiopaedia

Gaillard, F. Necrotizing enterocolitis. Case study, Radiopaedia.org. (accessed on 21 Oct 2022) https://doi.org/10.53347/rID-6355 • CC by-nc-sa 3.0 (modified)

Neonatal

pneumoperitoneum • Pneumoperitoneum - football sign - Ganzer Fall bei Radiopaedia

Gaillard F, Pneumoperitoneum - football sign. Case study, Radiopaedia.org (Accessed on 17 May 2024) https://doi.org/10.53347/rID-7906 • CC by-nc-sa 3.0 (modified)

Spontaneous

pneumoperitoneum in neonates: a case series. a Abdominal X-ray; showing free abdominal air, football sign. b Abdominal X-ray follow-up for patient in a; showing persistent pneumoperitoneum and gastric distension. c Gastrografin follow-through; showing small amount contrast extravasation from the duodenum

aops.springeropen.com • CC-by-4.0

Spontaneous

pneumoperitoneum in neonates: a case series. CXR showing diffuse lung infiltration and incidentally found pneumoperitoneum

aops.springeropen.com • CC-by-4.0

Spontaneous

pneumoperitoneum in neonates: a case series. a CXR; showing right-sided tension pneumothorax, and pneumoperitoneum. b Follow-up CXR for Pt in a; showing resolution of pneumothorax after chest tube insertion and improvement of pneumoperitoneum. c Gastrografin follow-through; showing no evidence of contrast extravasation from the gastrointestinal tract

aops.springeropen.com • CC-by-4.0

Radiopaedia • CC-by-nc-sa 3.0 • de

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.