<prompt> A premature neonate on top feeding develop abdominal distension and bleeding per rectum. He recently recovered from acute upper respiratory tract infection. What is the probable diagnosisNecrotizing enterocolitisValvulusMeckels diverticulumIntussusception  <response>: This child is -PrematureOn artificial feeding top feedingHaving abdominal distention and bleeding per rectum.All these are suggestive of necrotizing enterocolitis :-i The greatest risk factor, for necrotizing enterocolitis is prematurity. ___ Nelson 18th e 755ii Almost all patients of neonatal enterocolitis are artificially fed prior to the onset of illness.iii In stage I, there is abdominal distention and blood in stool.So, the child in question is suffering from necrotizing enterocolitis.About other optionsThe hallmark of volvulus in neonatal period is bilious vomiting.Intussusception presents between the age of 3-9 months not in neonatal period.Symptoms of Meckel diverticulum usually arise in the 1st 2 years of life average 2.5 years and most common presentation i4s painless rectal bleeding. 