Abstract
Objective: To report the different forms of radiological presentation of necrosis and intestinal perforation in Necrotizing Enterocolitis (NEC) in seven newborns admitted to the neonatal ICU. Case Details: Simple X-rays of the abdomen of seven NBs with NEC were evaluated, all of whom were in phase 3 of Bell. Radiological findings: complete opacification of the abdomen; air bubble above the liver; soccer ball sign; hyper-transparent images without the hollow viscera shape; Rigler's sign; and free peritoneal air highlighting intraperitoneal structures. Final Considerations: NEC has a multifactorial etiology, associated with three main factors: intestinal immaturity, bacterial proliferation, and oral diet with formula. The worsening of the clinical picture, presence of signs of hemodynamic instability, thrombocytopenia and metabolic acidosis associated with specific radiological alterations, can provide the diagnosis of an advanced NEC. The indication for emergency surgery is the presence of necrosis and / or intestinal perforation. It is essential to recognize the different modes of radiological presentation of these complications, quickly and accurately, as this will imply the therapeutic decision of immediate surgery and, consequently, will have an impact on the quality of life and survival of these newborns.