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October 5, 1979, Vol 242, No. 14 >
ARTICLE | October 5, 1979

Abnormal Abdominal Gas Shadows in a Diabetic Baby

Jacob Bar-Ziv, MD
JAMA. 1979;242(14):1537-1538. doi:10.1001/jama.1979.03300140049026.
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History  A 4 1/2-month-old child was hospitalized from birth because of neonatal diabetes mellitus. Great difficulty in stabilizing and controlling the diabetes was experienced throughout the hospital stay. A profuse watery diarrhea developed. The child's condition rapidly deteriorated, and the baby died ten days later. Terminally the infant had hematemesis. Physical examination showed a moribund febrile baby with clinical evidence of sepsis. Figures 1 and 2 are posteroanterior and lateral roentgenograms obtained several days before death to verify the presence of pneumonia.

Diagnosis  Necrotizing enterocolitis.Figures 1 and 2 confirmed the presence of basal lobular pneumonia on the right. Gas in the hepatic blood vessels is apparent on both views. The presence of mottled air lucencies is also noted in the region of the spleen.The diagnosis was verified at autopsy. A pneumoperitoneum and patchy necrosis of the bowel were present. There was air in the mesentery of the bowel,

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