Pneumatosis intestinalis (PI) is often seen secondary to necrotizing enterocolitis in premature infants in association with perinatal stress. Surgical intervention is frequently necessary to prevent extensive necrosis of the bowel wall, sepsis, and death. PI is an unusual finding in children beyond the first year of life, and medical treatment is usually sufficient. We report the case of a 7-year-old child with spastic quadriplegic cerebral palsy and chronic, persistent, unexplained diarrhea in whom hematochezia developed and who was found to have pneumatoceles in the wall of his large bowel. An extensive evaluation led to the diagnosis of medication-induced chronic diarrhea with associated PI, and conservative treatment reversed the process. The diagnosis and treatment of PI in the child beyond the neonatal period are reviewed in this report.

C.T. was born to a gravida 3, para 1 mother after a 37-week gestation, which was complicated only by early dilation of the...

You do not currently have access to this content.