Necrotizing enterocolitis is associated with increased morbidity and mortality. Most preterm infants with NEC are managed medically. The two common surgical interventions for intestinal perforation are exploratory laparotomy and peritoneal drainage. Two cases are presented to illustrate the complicated clinical course and current management at our institution.
Keywords: Prematurity, NICU, Necrotizing enterocolitis, Surgical NEC, Intestinal perforation, Explorative laparotomy, Peritoneal drainage, Ostomy, Cholestasis, Enteroplasty, Intestinal rehabilitation, Transplantation.