Purpose or Case Report: Short Bowel Syndrome (SBS) is a significant cause of morbidity and mortality in neonates, resulting from a substantial reduction in functional small intestine.
It may arise from congenital anomalies or acquired conditions requiring extensive bowel resection.
This educational exhibit presents a review of the different pathologies potentially leading to SBS in neonates, to help radiologists offer an early and accurate diagnosis, critical to optimize clinical outcomes.
We review and illustrate conditions using multimodality imaging in:
1. Congenital causes of SBD:
Gastroschisis.
Bowel atresia.
Complicated meconium ileus.
Meconium peritonitis and meconium pseudocyst.
2. Acquired causes of SBS:
Malrotation and midgut volvulus.
Necrotizing enterocolitis.
Hirschsprung’s disease.

This study aims to underscore the essential role of perinatal imaging in the early detection, characterization, and management planning of both congenital and acquired etiologies leading to SBS in the neonatal population.
Emphasis is placed on the diagnostic utility of prenatal ultrasound and MRI and postnatal imaging techniques starting with plain radiography, contrast studies, and cross-sectional imaging in the neonatal period.
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