Radiograph of necrotizing enterocolitis in premature infants

Plain abdominal radiographs in premature infants with necrotizing enterocolitis. Left panel: There is marked abdominal distention due in part to dilated bowel loops, and bubbles of gas in the bowel wall due to extensive pneumatosis intestinalis (arrow). An orogastric tube is in place. Right panel: There is marked abdominal distention, pneumatosis intestinalis, and a suspicion of portal venous (arrow) and/or free intraperitoneal air.