Necrotizing Enterocolitis in a Term Newborn: A Case Report

Published:September 01, 2022DOI:
      This case report describes a 5-day-old term infant with necrotizing enterocolitis (NEC). The clinical presentation, diagnostic reasoning, current literature, hospital course, and follow-up are discussed. Necrotizing enterocolitis is a gastrointestinal emergency characterized by severe inflammation and ischemic necrosis of the intestinal mucosa. Usually a condition of prematurity, NEC primarily occurs in very low birth weight premature infants. Necrotizing enterocolitis can be managed medically or surgically, depending on the severity. Although the etiology of NEC is unknown, the clinical presentation includes abdominal distention and tenderness, feeding intolerance, grossly bloody stools, and severe hypotension and acidosis.


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      Mary Jean Ohns, Pediatric Nurse Practitioner, Emergency Department, ProMedica Russell J. Ebeid Children's Hospital, Toledo, OH.