Necrotizing enterocolitis NEC

• Facts:
  MC found in premature infants
  
  Usually presents 3-10 days after birth, with the introduction of formula feeding
  
  Bowel injury from perinatal asphyxia
• History / PE:
  Increased gastric residue, bile-stained vomitus
  Pneumotosis intestinalis
  Abdominal distension, vomiting
  Frank blood in stools
• Diagnosis:
  Leukocytosis
  Acidosis
• Treatment:
  Aggressive resuscitation with ABx
  
• Complications:
  Bowel perforation
  High mortality
• Differential Diagnosis:
  Food poisoning (no frank blood in stools)