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Multiple cerebral gaseous emboli in an infant with fulminant necrotising enterocolitis
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An ex-preterm infant collapsed acutely with abdominal distension, bradycardia and desaturation. Urgent echocardiogram to exclude pericardial tamponade revealed multiple, highly echogenic, foci in all four, but particularly the right-sided, cardiac chambers (video 1). Cranial ultrasound revealed multiple echogenic foci throughout the cerebral arterial vasculature, following paths of the anterior cerebral and pericallosal arteries (video 2).