Pneumatosis Intestinalis

Pneumatosis intestinalis is a radiological sign which is highly suggestive for necrotizing enterocolitis. Pneumatosis intestinalis refers to gas cysts in the bowel wall. This is in contrast to gas in the intestinal lumen. In newborns, pneumatosis intestinalis is considered diagnostic for necrotizing enterocolitis, and the air is produced by bacteria in the bowel wall.

  • Pneumatosis intestinalis at computed tomography in intestinal ischemia. Lung window for better representation of the gas deposits in the intestinal walls. Coronal reconstruction.

  • Pneumatosis intestinalis in the coronal computed tomography in lung window. It can be seen next to gas entrapment in the bowel wall and gas in the stomach wall and in numerous vessels, including the portal vein into the liver.

  • Pneumatosis intestinalis in computed tomography with intestinal ischemia. Lung window for better representation of the gas deposits in the intestinal walls.