see: [NEC](x-devonthink-item://AA741F67-03BE-4E4D-B585-B251654C3C9F?page=7&start=3091&length=25&search=Necrotizing%20Enterocolitis) pneumotosis intestinalis, feeding intolerance, swollen belly - usually in first week of life - unclear aeteology -- internal bowel wall becomes ischaemic - **surgical emergency** - prematurity or anoxic event at birth is a risk presentation: - appear ill, lethargic, irritable, anorexia - distended abdomen - bloody stools Tx: - admission - broad spectrum abx