Hepatic portal venous gas is a rare entity which is associated with many conditions such as hypertrophic pyloric stenosis, necrotizing enterocolitis, mesenteric ischemia, intestinal obstruction, etc. In this case report, we discuss a 2-day old neonate who presented with abdominal distension. Radiological workup shows hepatic portal venous gas along with free air in between bowel loops and pneumatosis intestinalis concerning for necrotizing enterocolitis. The neonate was admitted to the pediatric intensive care unit for further management.
Hepatic portal venous gas, Necrotizing enterocolitis, Pneumatosis intestinalis.