A 3-day-old premature infant born at 28 weeks gestation presents with abdominal distension, feeding intolerance, and lethargy. Vital signs show temperature 36.8°C, heart rate 165/min, respiratory rate 48/min, and blood pressure 52/35 mmHg. The infant has passed bloody stools. Abdominal examination reveals distension without rebound tenderness. Abdominal radiograph demonstrates pneumatosis intestinalis. Laboratory studies show thrombocytopenia at 95,000/μL. Which of the following is the most likely diagnosis?

1. A)Malrotation with volvulus
2. B)Necrotizing enterocolitisGABARITO
3. C)Intussusception
4. D)Duodenal atresia
5. E)Hirschsprung disease