A 60-year-old woman, bedridden in a nursing home because of multisystem atrophy, developed aspiration pneumonia. Coarse crackles were observed in the lung fields, her abdomen was slightly distended, and the bowel sounds were diminished. An abdominal X-ray showed a possible foreign body (arrow head) and pneumatosis intestinalis (arrows) in the ascending colon (Picture A). Computed tomography con...
