A rare case of segmental small bowel pneumatosis intestinalis: A case report

Abstract

This case highlights the importance of both surgical and gastroenterology expertise in successfully managing symptomatic pneumatosis intestinalis.

Pneumatosis Cystoides Intestinalis: Clinical Experience in a Single Center

“…Pneumoperitoneum does not necessarily indicate intestinal perforation, but may also suggest the rupture of gas-filled cysts in PCI (26). Abdominal sepsis, intestinal perforation or clinical scene of peritonitis are the indications for emergency surgery (7,8). Resection was reported not to be necessarily required in the absence of peritonitis, intestinal ischemia and ileus during laparotomy (23).…”

“…With the advent and widespread use of computed tomography (CT), the former ratio was reported to have risen to 0.37% (5,6). The general clinical scenario in PCI can vary greatly, ranging from admission with such nonspecific findings as abdominal pain, abdominal distension and rectal bleeding to some life-threatening complications such as intestinal obstruction, ischemia, perforation and intussusceptions, which requires emergency surgery (7,8). The diagnosis can be quite challenging due to non-specific clinical findings and rarity of PCI.…”

Pneumatosis intestinalis in an adult: a report of an unusual case

“…3 The incidence of 0.03% has gone up to 0.37% due to accurate diagnosis on computerized tomography scan. 3,4 PI can be classified as primary (idiopathic) and secondary based on the absence or presence of etiological factors.…”

“…3,4 PI can be classified as primary (idiopathic) and secondary based on the absence or presence of etiological factors. [3][4][5] Primary PI accounts for 15% of cases and commonly involves the sub-mucosal layer of colon, whereas secondary PI accounts for 85% of cases which involves the sub-serosal layer of small intestines, and it is seen in association with necrotic, non-necrotic gastro-intestinal or pulmonary diseases. 3,4 The secondary PI was described by Koss in 1952 after analyzing 213 pathological specimens.…”

“…[3][4][5] Primary PI accounts for 15% of cases and commonly involves the sub-mucosal layer of colon, whereas secondary PI accounts for 85% of cases which involves the sub-serosal layer of small intestines, and it is seen in association with necrotic, non-necrotic gastro-intestinal or pulmonary diseases. 3,4 The secondary PI was described by Koss in 1952 after analyzing 213 pathological specimens. 5 We present a case of pneumatosis intestinalis of small intestine with acute abdomen and pneumo-peritoneum in an adult patient admitted in emergency department.…”