interesting_case NEC case

[Ahmed Nabil]

7 days old ,PT 36 weeks . W; 1.7 KG. has PDA on paracetamol. was on oral feeding, has get sudden abdominal distension.
WBC: 10000, Platelets: 270000. PH: 7.31, HCO3: 25 ,
abdomen X RAY revaled pneumoperitoneum. How to manage ?

Disclaimer: this is not my case, this case from Saudi pediatric surgery club, only to test forums

[Ramyasree]

Exploration laparotomy, If very unwell 2 counter incisions and drain

[Admin]

Exploration laparotomy, If very unwell 2 counter incisions and drain

Well said, pneumoperitoneum is an absolute indication for intervention in NEC either with laparotomy or drain according to baby condition