Indication for surgery in Necrotizing Enterocolitis is?: (A) Pneumatosis intestinalis- Stage IIA of NEC, (B) Pneumoperitoneum- Stage IIIB of NEC, (C) Poal Vein gas- Stage IIB of NEC, (D) Peritonitis- Stage IIIA of NEC
Answer is B. Pneumoperitoneum -NEC stage 3b- intestinal perforation occurs. Treatment includes suppoive care along with surgery. Modified Bell's Staging Criteria: