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Updated: May 13, 2026

Gastric Point of Care Ultrasound in Adults: Image Acquisition and Interpretation
Published on: September 22, 2023
Gastric pneumatosis secondary to pyloric stenosis
Troy A Markel1, Matthew R Wanner, Deborah F Billmire
1Department of Pediatric Surgery, Indiana University School of Medicine and Riley Hospital for Children at Indiana University Health, Indianapolis, Indiana. tmarkel@iu.edu
Abstract:
Pneumatosis of the intestine is a concerning radiographic finding which may be indicative of intestinal ischemia or necrosis. Gastric pneumatosis is particularly rare, and in neonates, is usually associated with necrotizing enterocolitis. There are rare reports of gastric pneumatosis being associated with other non-ischemic etiologies. Herein, we report a 4 week old neonate who presented with persistent emesis. Abdominal radiographs showed extensive gastric pneumatosis. Further workup revealed pyloric stenosis that responded to standard surgical therapy.
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