Necrotising enterocolitis
This is a classic presentation of a disease known as Necrotising enterocolitis (shortly, NEC). NEC typically occurs in the second to third week of life in premature babies, is characterized by variable damage to the intestinal tract, small and/or large bowel, ranging from mucosal injury to full-thickness necrosis and perforation. The cause is unclear but is probably related to a complex interplay between intestinal ischaemia, injury, and infection.This radiograph demonstrates the classic intramural gas (pneumatosis intestinalis) appearance of necrotising enterocolitis. The air within the intestinal wall is though to be due to gas produced by overgrowth of enteric bacteria. Treatment consists primarily of supportive care including providing bowel rest by stopping enteral feeds, gastric decompression, correction of electrolyte abnormalities, regulation of BP, and prompt antibiotic therapy.
Can't really find any double lines of the wall in this (maybe someone could point to a few), but that's true, the obstruction like this is one of the x-ray stages
