PNEUMATOSIS-INTESTINALIS AND NECROTIZING ENTEROCOLITIS ASSOCIATED WITH LIVER-CIRRHOSIS

We report a 58-year-old woman with pneumatosis intestinalis and necrot izing enterocolitis associated with liver cirrhosis. She was receiving treatment for liver cirrhosis and hepatic failure when sudden severe right upper abdominal pain and fever developed. Abdominal radiograph d isclosed pneumatosis intestinalis, involving the ascending colon, and small collections of free air along the right hemidiaphragm. The pneum atosis intestinalis appeared in both cystic and linear form. Autopsy r evealed necrosis and multiple gas-filled mural cysts in the ascending colon. To our knowledge, this is the first case to be reported of pneu matosis intestinalis and necrotizing enterocolitis associated with liv er cirrhosis.