Intrahepatic gas shadows in neonatal duodenal obstruction.

Ischemic jejunitis and pneumatosis intestinalis secondary to anastomotic obstruction following jejunal atresia repair

“…Pneumatosis intestinalis and portal venous gas have also been noted in association with d u o d e n a l obstruction [6,7,11]. In 1955, Wolfe described a patient Fig.…”

“…In an unusual report, Shaw found no gross evidence of inflammation at surgery in two patients with neonatal duodenal obstruction and portal venous gas [11]. He postulated that gastric distention and increased intraluminal pressure was solely responsible for passage of gas into the portal system.…”