Q:

Neonates with NEC may demonstrate all of the following findings on abdominal films except:

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Neonates with NEC may demonstrate all of the following findings on abdominal films except:


  1. Pneumatosis intestinalis.
  2. Portal vein air.
  3. Pneumoperitoneum.
  4. Colovesical fistula.
  5. Fixed and thickened bowel loops.

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D. Colovesical fistula.

DISCUSSION: Infants with NEC do not develop a colovesical fistula as an initial x-ray finding. Pneumatosis, portal vein air, pneumoperitoneum, and fixed intestinal loops with thickened bowel wall are all observed with some regularity in babies with NEC. 

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