Gastric pneumatosis in a preterm infant following initial empiric antibiotic therapy

Bayoumi, Mohammad A A; Elmalik, Einas Elzubier

doi:10.1136/bcr-2021-246446

Cited by 1 publication

(1 citation statement)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[10] A recent case reported an association between empiric antibiotic use and gastric pneumatosis in a preterm infant that could be a result of alteration in intestinal flora predisposing to necrotizing enterocolitis. [11] In our case, various factors like extreme prematurity, compromise to the mesenteric circulation secondary to PDA, and sepsis may have contributed to a weak gastric mucosal barrier resulting in the dissection of air into the gastric intramural space inadvertently during nasogastric tube insertion or while feeding.…”

Section: Discussionmentioning

confidence: 71%

Gastric pneumatosis in a preterm infant: A case report

Sreekumar,

Raj,

Dey

et al. 2023

J Neonatal Surg

View full text Add to dashboard Cite

Background: Gastric pneumatosis is a rare condition characterized by the presence of intramural gas in the stomach wall. It is uncommon in infants and is usually caused by proximal intestinal obstruction or necrotizing enterocolitis, a serious condition typically seen in preterm babies. Case Presentation: An extremely preterm baby born at 23 weeks of gestation weighing 640 grams, with bronchopulmonary dysplasia and other comorbidities like patent ductus arteriosus, staph aureus sepsis, developed abdominal distension and non-bilious vomiting at 4 months of age. X-ray abdomen revealed gastric pneumatosis. The condition was managed with conservative measures. Conclusion: Gastric pneumatosis secondary to necrotizing enterocolitis is uncommon in infants and needs prompt evaluation and management to prevent further deterioration.

show abstract

Section: Discussionmentioning

confidence: 71%