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Intestinal volvulus secondary to pneumatosis intestinalis: A case report

Seyed Amir Miratashi Yazdi1, Fatemeh Chinisaz2, Lida Mohammadi1

  • 1Department of Surgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.

International Journal of Surgery Case Reports
|October 25, 2021
PubMed
Abstract

Insights

Pneumatosis intestinalis (PI) is a rare condition causing gas cysts in the intestine. Early recognition of severe complications like intestinal volvulus is crucial for patient survival.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Pneumatosis intestinalis (PI) involves gas cysts in the intestinal wall.
  • It is often secondary to other underlying conditions.
  • PI can present with varied symptoms, from asymptomatic to severe abdominal pain.

Purpose of the Study:

  • To report a case of pneumatosis intestinalis.
  • To highlight the importance of recognizing rare but life-threatening complications.

Main Methods:

  • A case report of a 30-year-old male with abdominal pain and vomiting.
  • Diagnostic imaging including abdominal CT scan.
  • Surgical intervention via emergency laparotomy with intestinal resection and anastomosis.

Main Results:

  • CT scan confirmed pneumatosis intestinalis.
  • Emergency surgery was performed due to peritonitis.
  • The patient recovered and was discharged in stable condition.

Conclusions:

  • While often asymptomatic, PI can lead to critical complications such as intestinal volvulus.
  • Prompt diagnosis and surgical management are vital for favorable outcomes.
  • Awareness of PI's potential lethal complications is essential for surgeons.
Keywords:
Case reportIntestinePeritonitisPneumatosis intestinalisVolvulus

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