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Pneumatosis intestinalis and intestinal perforation in a case of multisystem inflammatory syndrome in children
  1. Lela Heza1,
  2. Aliza Olive2 and
  3. Jenna Miller2
  1. 1Medical School, Kansas City University, Kansas City, MO, USA
  2. 2Critical Care, Children's Mercy Hospital, Kansas City, MO, USA
  1. Correspondence to Dr Aliza Olive; aolive{at}


This case demonstrates pneumatosis intestinalis and small bowel perforation in a paediatric patient with multisystem inflammatory syndrome in children (MIS-C). Our patient presented with fever, abdominal pain and shortness of breath. She progressed to haemodynamic failure and small bowel perforation approximately 1 week after admission. Patients with suspected or confirmed MIS-C should be monitored closely for abdominal catastrophe, especially when critically ill in the intensive care unit.

  • COVID-19
  • paediatric surgery

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  • Contributors AO contributed to conception and design of the case report, acquisition of information and revision of the article, as well as final approval of the version being submitted. LH contributed to conception and design of the case report and acquisition of information. LH performed the majority of the research on background, and drafted the initial article, then revised it. JM contributed to conception and design of the case report, as well as acquisition of information, and revision of the article. JM also contributed to final approval of the version being submitted. JM is also responsible for overall content.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.