Interstitial gastric emphysema in a child with duodenal stenosis

Abstract

A case of interstitial gastric emphysema secondary to duodenal obstruction is reported here. Localized involvement of the stomach wall is extremely unlikely in necrotizing entercolitis. In the absence of signs of infection, or a history of instrumentation or immuno-suppressive therapy, a lesion producing gastric or duodenal obstruction should be suspected. The presence of intramural gas should in no way alter the management. A barium examination will usually demonstrate the site of obstruction.