Ischemic bowel


Intramural gas (also known as pneumatosis intestinalis) refers to gas within the wall of the bowel and can be associated with ischemia and infarction, and usually carries a dismal prognosis. Even if this patient were to survive the acute illness, she would require most of the small bowel resected which leads to enormous morbidity (e.g. short bowel syndrome, requiring total parenteral nutrition etc...).