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Theme: Paediatric gastrointestinal surgical conditions
  1. S Pandit,
  2. M Davey
  1. Royal Adelaide Hospital, Adelaide, Australia
  1. Correspondence to Dr M Davey, Emergency Department, Royal Adelaide Hospital, Adelaide 5000, Australia; michael.davey{at}health.sa.gov.au

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Question 1

Which of the following are true regarding necrotising enterocolitis?

  1. It is typically seen in feeding newborns and may be seen in term infants.

  2. Pneumatosis intestinalis is a pathognomonic radiological sign of necrotising enterocolitis.

  3. Ultrasound findings include markedly increased peak flow velocity of arterial blood flow in the coeliac and superior mesenteric arteries.

  4. Patients may present with hypernatraemia and metabolic alkalosis.

Question 2

Which of the following are true regarding intestinal malrotation?

  1. Approximately 30% of the patients with an intestinal malrotation have associated congenital cardiovascular malformations.

  2. All patients present by the end of the first year of life.

  3. Ultrasonography has been shown to be very sensitive (approximately 100%) in detecting neonatal malrotation.

  4. The Ladd procedure remains the cornerstone of surgical treatment for malrotation and consists of the division of mesenteric bands, placement of small bowel on the right and large bowel on the left of the abdomen and …

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