Massive Benign Pneumatosis Intestinalis

Benign pneumatosis intestinalis: a cause of massive pneumoperitoneum in the adult.

Pneumatosis intestinalis (gas in the bowel wall) is often a benign condition, but it may mimic bowel ischemia or infarction and lead to unnecessary surgical intervention, especially when associated with pneumoperitoneum. We present a case of benign pneumatosis intestinalis with massive pneumoperitoneum and discuss various distinguishing features that may aid in its diagnosis.

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: A Rare Benign Cause of Pneumoperitoneum

Pneumatosis cystoides intestinalis is a rare gastrointestinal complication in the course of connective tissue diseases, especially in scleroderma, that can lead to pneumoperitoneum or obstruction. Findings on plain radiography may reveal radiolucent linear or bubbly circular air bubbles in the bowel wall, with or without free gas accumulation in the peritoneal cavity. Treatment of pneumatosis c...

Benign pneumatosis intestinalis in a patient with juvenile dermatomyositis.

[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...