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Murine Ileocolic Bowel Resection with Primary Anastomosis
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Pneumatosis intestinalis with complete remission: a case report.

Aly Saber1

  • 1Department of general surgery, Port-Fouad General Hospital, Al-obour street- Port-Fouad, 11361, Egypt. alysaber@hotmail.com

Cases Journal
|February 27, 2010
PubMed
Summary

Pneumatosis cystoides intestinalis, a rare condition with intestinal air cysts, can resolve spontaneously after addressing underlying causes like perforated duodenal ulcers. This case highlights the importance of imaging and clinical findings for diagnosis and management.

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Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Pneumatosis cystoides intestinalis (PCI) is a rare condition characterized by cysts in the gastrointestinal wall.
  • The exact pathogenesis of PCI remains unclear, with various theories proposed.
  • Complications such as obstruction, perforation, and hemorrhage occur in approximately 3% of cases.

Purpose of the Study:

  • To report a case of pneumatosis cystoides intestinalis.
  • To discuss the diagnostic and therapeutic approaches for this rare condition.

Main Methods:

  • A 56-year-old male presented with acute abdominal pain.
  • Initial laparotomy revealed widespread intestinal air cysts and a perforated duodenal ulcer, which was repaired.
  • A second laparotomy showed resolution of pneumatosis cystoides intestinalis after the duodenal ulcer repair.

Main Results:

  • Pneumatosis cystoides intestinalis resolved spontaneously following surgical repair of a perforated duodenal ulcer.
  • The patient's condition improved significantly after the second laparotomy.

Conclusions:

  • Pneumatosis cystoides intestinalis is a rare entity diagnosed through imaging and clinical evaluation.
  • Management can be conservative or surgical, depending on the clinical scenario.