26th April 2024

A 2-week-old preterm infant, born at 30 weeks gestation, is admitted to the neonatal intensive care unit with feeding intolerance, abdominal distension, and vomiting.

A 2-week-old preterm infant, born at 30 weeks gestation, is admitted to the neonatal intensive care unit with feeding intolerance, abdominal distension, and vomiting. The baby was on formula feeds. On examination, the abdomen is distended and tender, with visible bowel loops. The baby has a temperature of 37.9°C, heart rate of 160 bpm, and respiratory rate of 45 breaths per minute. An abdominal X-ray shows pneumatosis intestinalis.

Which is the most likely diagnosis?