Enteric Pneumatosis

A Case of Enteric Pneumatosis

Pneumatosis intestinalis

A 92yearold woman was transferred to our hospital because of diarrhea and vomiting. Approximately 1 month earlier, the patient was admitted to another hospital for the treatment of aspiration pneumonia and pyelonephritis. She had been well with hydration and antibiotics including piperacillintazobactam until 2 days before this presentation, when diarrhea and vomiting developed. On examination, ...

[Pneumatosis cystoides intestinalis].

UNLABELLED AIR-FILLED CYSTS: Pneumatosis cystoides intestinalis (PCI) is a benign air-filled cystic formation lying in submucosal or subserous digestive tissue. PCI has been reported all along the digestive tract. CLINICAL SIGNS Manifestations of PCI vary greatly. Some cases are asymptomatic, while others are revealed by abdominal pain or pneumoperitoneum. Outcome is usually favorable. EXPL...

Pneumatosis coli causing pneumoperitoneum

This is a case of a 54-year-old gentleman who presented to an outside hospital emergency department with lower abdominal pain. Computed tomography imaging showed a small amount of intraperitoneal free air and cystic pneumatosis coli. He was admitted, managed conservatively with intravenous antibiotics, and then discharged home after his symptoms improved. Elective laparoscopic sigmoid colectomy...

Pneumatosis cystoides intestinalis.

Patients with free intraperitoneal air usually undergo emergency surgery. Some of these patients will have no identifiable perforation, for instance those with pneumatosis cystoides intestinalis. This is a rare condition characterized by multiple intramural gas cysts in the gastrointestinal tract. The most common symptoms are meteorism, excessive flatulence, diarrhoea, abdominal pain, passage o...