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William B. Seaman, MD
Columbia-Presbyterian Medical Center New York

JAMA. 1969;207(1):151.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor:—

In regard to two recent reports of pneumatosis intestinalis in patients with scleroderma that were submitted by Meihoff et al (204:854, 1968) and Atlas (205: 939, 1968), I would like to point out that gas within the wall of the bowel may be seen in a variety of conditions characterized by intestinal distention and/or ulcerative disease. The latter is not essential and it is probable that the mucosal ischemia associated with distention for long periods may result in varying degrees of mucosal necrosis, which also permits gas to enter the wall of the gut. Rigler and Pogue (Amer J Roentgen 94:402, 1965) pointed out the high frequency of intramural gas with mucosal necrosis and indeed pointed out that intramural gas was a fairly reliable sign of mucosal necrosis.

The first case of intramural gas within the small-bowel wall occurring in patient with scleroderma was reported by . . . [Full Text PDF of this Article]

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