<prompt> X-ray abdomen of neonate shows:Duodenal atresiaJejunal atresiaPneumatosis intestinalisHirschsprungs disease  <response>: Ans. c Pneumatosis intestinalis. The finding of pneumatosis intestinalis air in the bowel wall confirms the clinical suspicion of NEC and is diagnostic; 50-75 of patients have pneumatosis when treatment is started. NEC is the most common life-threatening emergency of the gastrointestinal tract in the new-born period. The greatest risk factor for NEC is prematurity. Pneumatosis Intestinalis is seen modified Bell staging class 2A Pneumoperitoneum is seen in modified Bell staging class 3B Portal venous gas is a sign of severe disease, and pneumoperitoneum indicates a perforation. Hepatic ultrasonography may detect portal venous gas despite normal abdominal roentgenograms. Image source. styletext-decoration: underline; color: rgba17, 85, 204, 1; font-family: Times New Roman, Times, serif638.jpg?cb1363698022 