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Pericholecystic hyperechogenicities in necrotizing enterocolitis: A specific sonographic sign

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Abstract

The authors report a new sonographic pattern found in association with neonatal necrotizing enterocolitis in 5 newborns: hyperechogenicities around the gallbladder. The pattern probably corresponds to extension of the disease to the perivesicular space. The most probable hypothesis for that extension is diffusion by contiguity through the lesser sac and/or the right gutter. The hyperechogenicities could be related to the foamy infiltrate typical of NEC. Air within the pericholecystic vascular system similar to portal air could be another (less probable) explanation.

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References

  1. Swischuk LE (1989) Necrotizing enterocolitis. In: Swischuk LE (ed) Imaging of the newborn, infant and young child, Third ed. Williams and Wilkins, Baltimore, p 495

    Google Scholar 

  2. Brown EG, Sweet AY (1982) Neonatal necrotizing enterocolitis. Pediatr Clin North Am 29:1149

    PubMed  Google Scholar 

  3. Nachtegaële P, Afschirft M, Vandendriessche M, Van Rattinghe R, Voet D, Verdonk G (1982) Sonographic diagnosis of gas embolism in the portal vein. Gastrointest Radiol 7:375

    Article  PubMed  Google Scholar 

  4. Meritt CRB, Goldsmith JP, Shary MJ (1984) Sonographic detection of portal venous gas in infants with NEC. AJR 143:1059

    PubMed  Google Scholar 

  5. Patriquin HB, DiPietro M, Barber FE, Teele RL (1983) Sonography of thickened Gallbladder wall: causes in children. AJR 141: 57

    PubMed  Google Scholar 

  6. Morton M (1988) Intraperitoneal spread of infection. In: Morton Meyers (ed) Dynamic radiology of the abdomen. Normal and pathologic anatomy, 3rd edn Springer, New York, p 49

    Google Scholar 

  7. Ghory MJ, Sheldon CA (1985) Neonatal NEC. Surg Clin North Am 25:1094

    Google Scholar 

  8. Brill P, Olson SR, Winchester P (1990) NEC: air in the Morrison pouch. Radiology 174:169

    Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, University Clinics of Brussels, Erasme Hospital, Brussels, Belgium

    E. F. Avni, F. Rypens & E. Cohen

  2. Department of Neonatology, University Clinics of Brussels, Erasme Hospital, Brussels, Belgium

    A. Pardou

Authors
  1. E. F. Avni
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  2. F. Rypens
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  3. E. Cohen
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  4. A. Pardou
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Avni, E.F., Rypens, F., Cohen, E. et al. Pericholecystic hyperechogenicities in necrotizing enterocolitis: A specific sonographic sign. Pediatr Radiol 21, 179–181 (1991). https://doi.org/10.1007/BF02011041

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  • DOI: https://doi.org/10.1007/BF02011041

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