Presentation
Congenital heart disease. Long-term NICU admission. Abdominal distension.
Patient Data
Age: 70 days
Gender: Male
From the case:
Necrotizing enterocolitis with portal venous gas

There is diffuse pneumatosis intestinalis with bowel dilatation and portal venous gas. Numerous lines and tubes project over the abdomen.
Case Discussion
Portal venous gas in necrotizing enterocolitis is not the fulminant sign as seen in adults.