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Updated: Jul 19, 2025

Imaging Features of Systemic Sclerosis-Associated Interstitial Lung Disease
Published on: June 16, 2020
Pneumatosis cystoides intestinalis presenting as pneumoperitoneum in a patient with chronic obstructive pulmonary
Genna Logue1, Mubeen Chaudhry1
1Macclesfield District General Hospital, Macclesfield, United Kingdom.
Abstract:
Pneumatosis is always an alarming sign that may result from life-threatening bowel ischaemia and infarction; however, benign intramural gas can also result from a variety of secondary conditions including chronic obstructive pulmonary disease (COPD). Pneumoperitoneum and pneumoretroperitoneum can be seen with both entities. Therefore, thorough discussions with the referring clinicians regarding the patient's medical history, clinical examination and laboratory results are mandatory. Benign causes can be managed conservatively, however, emergency exploratory laparotomy is often required in suspected life-threatening conditions. Misinterpretation of this finding can lead to incorrect diagnosis and unnecessary surgery.
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