Bedside ultrasound image obtained from the lower abdomen (transverse view) using curvilinear probe, demonstrating edematous bowel wall with intra-mural air which appeared as hyper-echoic lining along the bowel wall (white arrows) suggestive of pneumatosis intestinalis. There was also free fluid demonstrated in the ultrasound image as shown by the yellow arrow.White arrows: intra-mural air which appeared as hyper-echoic lining along the bowel wall suggestive of pneumatosis intestinalis.Yellow arrow: Free fluid