Lethal pneumatosis coli in a 12-month-old child caused by acute intestinal gas gangrene after prolonged artificial nutrition: a case report.
BACKGROUND
Pneumatosis coli is a rare disease with heterogeneous symptoms which can be detected in the course of various acute and chronic intestinal diseases in children, such as necrotizing enterocolitis, intestinal obstruction and intestinal bacteriological infections.


METHODS
We report the case of a 12-month-old boy who died of pneumatosis coli caused by an acute intestinal gas gangrene after prolonged artificial alimentation.


CONCLUSIONS
While intestinal gas gangrene is a highly uncommon cause of pneumatosis coli, it is important to consider it as a differential diagnosis, especially in patients receiving a prolonged artificial food supply. These patients may develop intestinal gas gangrene due to a dysfunctional intestinal barrier.
Kircher
Stefan
S
Institute of Pathology, University Würzburg, Josef-Schneider-Strasse, Würzburg, Germany. stefan.kircher@gmx.de
Wössner
Rupert
R
Müller-Hermelink
Hans-Konrad
HK
Völker
Hans-Ullrich
HU