Pneumatosis is rare in this agegroup. In non-neonate pediatrics, the causes include (from a series of 30 patients 1):

  • non-infective colitis (32%)
  • enteric infection (27%)
  • ischemia (20%)
  • dysmotility (17%)

In this case, there was no evidence of infection or dysmotility. Lactate was normal. The child responded to steroid therapy and a presumed diagnosis of non-infective colitis was made. The cause was no identified and there were no further presentations.