Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 47 5 2009 10 15 415 417 EN Behnam Behnoush Department of Forensic Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. Shabnam Bazmi Department of Forensic Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. Firozeh Mohammadi Department of Forensic Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. Elham Bazmi Department of Forensic Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. Gholam Ali Dorvashi Department of Forensic Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. 2015 09 28 This is a case of a patient with bowel obstruction , imaging studies were suggestive for pneumatosis intestinalis. Clinically diagnosed as adhesion band and pnematosis intestinalis. She underwent laparatomy, enterolysis, obstructionolysis and enterorrhaphy. The patient developed respiratory distress and expired after 2 days. At autopsy we found gray-brown discoloration in the wall of some part of small bowel and flattening of mucus membrane. Grossly multiple gas-filled cysts were seen at the serosal surface. Microscopic evaluation of small intestine wall showed multiple cysts located in submucosal and serosal layers. https://acta.tums.ac.ir/index.php/acta/article/view/3618 https://acta.tums.ac.ir/index.php/acta/article/download/3618/3594