Pneumatosis Cystoides Intestinalis: Clinical Experience in a Single Center

Pneumatosis cystoides intestinalis is a rarely seen disease characterized by cysts filled with multiple gases in the wall of the small or large intestine. Many factors have been suggested in the etiology and pathogenesis, including peptic ulcer, pyloric stenosis, and endoscopic trauma. Because various clinical characteristics and symptoms are observed together, diagnosis is generally difficult. It may be a cause of free air observed on direct radiographs. Treatment is directed at the cause and although there is generally a good course, it can sometimes lead to severe complications. In this paper, we present the case of a 33-year old male being prepared for surgery for pyloric stenosis due to a peptic ulcer. In the preoperative tests, because acid was determined within the abdomen and free air below the diaphragm, pneumatosis cystoides intestinalis was considered in the differential diagnosis. Definitive diagnosis was made during the operation and surgical treatment was applied.

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“…It may cause intra-abdominal free air (1). In 85% of the cases, PCI is seen secondary to another pathology.…”

Section: Introductionmentioning

confidence: 99%

Pneumatosis cystoides intestinalis: A rare cause of intraabdominal free air

et al. 2017

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“…[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.…”

Section: Introductionmentioning

confidence: 99%

“…The complications of PI include pneumo-peritoneum, volvulus, intestinal obstruction, intussusception, haemorrhage and perforation. 4 Pneumo-peritoneum usually represents a ruptured serosal cyst which was seen in this case. Pneumo-peritoneum is evident in up to 10% of cases with small bowel pneumatosis intestinalis and 2% of those with large bowel pneumatosis.…”

mentioning

confidence: 99%

“…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.…”

Section: Introductionmentioning

confidence: 99%

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