This is a case of pneumatosis intestinalis with pneumoperitoneum. Pneumatosis intestinalis can be caused by many different entities. The most worrisome scenario is bowel ischemia. Small bowel ischemia is usually due to occlusion of either the superior mesenteric artery or superior mesenteric vein. Colonic ischemia is usually due to hypoperfusion. This patient underwent subtotal colectomy. … Continue reading
History: 70 year old female with abdominal pain. What are the yellow and red arrows pointing to? What is your diagnosis? Share below! Find the answer to this case here.