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Indian Pediatr. 2003 Apr;40(4):349-51.
Pneumatosis coli, a benign form of necrotising enterocolitis.

Travadi JN, Patole SK, Gardiner K.

Department of Neonatal Pediatrics, King Edward Memorial Hospital for Women, Bagot Road, Subiaco, WA 6008, Australia. javeednotmail.com

Necrotising enterocolitis (NEC) is the most common acquired gastrointestinal emergency in neonates. Presence of pneumatosis intestinalis is taken as evidence of definite NEC. A distinctive but rare form of NEC called "pneumatosis coli" has been described, presenting with gross blood in stools and minimal or absent local and systemic signs. Radio-graph characteristically reveal isolated colonic pneumatosis without small bowel involvement. Pneumatosis coli has a more benign course compared with definite NEC. Total parenteral nutrition, antibiotics, an appropriate duration off feeds and close observation remain the corner stones of therapy assuring a benign course.

online pharmacy ref. source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12736409&dopt=Abstract

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