Point-of-care USG identification of pneumatosis intestinalis
The presence of intramural air in the bowel wall or pneumatosis intestinalis in pediatric population can be due to wide range of abdominal and non-abdominal conditions. Abdominal conditions include necrotizing enterocolitis, ileo-colic intussusception with bowel ischemia, venous occlusion of the bowel vasculature and inflammatory bowel disease [1, 2, 3, 4]. Non-abdominal conditions that can result in pneumatosis intestinalis include asthma, bronchopulmonary dysplasia, post-bone marrow transplantation, congenital heart disease, juvenile rheumatoid arthritis, hemolytic anemia and generalized vascular hypo-perfusion [5, 6].

Case Report
A 3-month-old baby boy, who was previously well, presented with diarrhea for 1 day and 1 episode of blood in the stools. There was a history of increased irritability, poor feeding and drawing up of the legs during the crying episodes. He was lethargic on examination with a heart rate of 152 per minute, blood pressure of 118/76 mmHg, oxygen saturation of 100%, capillary refill of 2–3 s and respiratory rate of 40 per minute. On examination, the abdomen was distended with an ill-defined mass palpable in the left hypochondrium. He had another episode of diarrhea while in the ED which also was mixed blood and mucous.