Gangrene of the intestine with pneumatosis intestinalis in a child with meningomyelocele

A 13-year-old girl with meningomyelocele and a cauda-equina-paraplegia-syndrome, with resulting long-standing ileus, developed an extensive gangrene of the stomach, the small bowel and parts of the colon. As pathogenesis a non-occlusive-ischemia is suspected; the exceptional neurological situation is discussed.