title: Lethal pneumatosis coli in a 12-month-old child caused by acute intestinal gas gangrene after prolonged artificial nutrition: a case report.
abstract: 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.
authors.affiliation: Institute of Pathology, University Würzburg, Josef-Schneider-Strasse, Würzburg, Germany. stefan.kircher@gmx.de
authors.forename: Stefan
authors.initials: S
authors.lastname: Kircher
authors.forename: Rupert
authors.initials: R
authors.lastname: Wössner
authors.forename: Hans-Konrad
authors.initials: HK
authors.lastname: Müller-Hermelink
authors.forename: Hans-Ullrich
authors.initials: HU
authors.lastname: Völker