Related Experiment Video
Updated: Jul 10, 2026

International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure
Published on: March 12, 2020
Bronchoperitoneal fistula in a patient with pneumatosis Cystoides intestinalis: a diagnostic challenge
Idan Grossmann1, Aubin Attila1, Anid Hassan1
1Department of Internal Medicine, Hackensack Meridian Health Jersey Shore University Medical Center, 1945 NJ-33, Neptune City, NJ, 07753, United States.
Background:
Pneumatosis cystoides intestinalis (PCI) is a rare condition characterized by the presence of multiple gas-filled cysts within the wall of the gastrointestinal tract, leading to variable clinical presentations and diagnostic challenges. A bronchoperitoneal fistula is an exceedingly rare complication, typically resulting from downward gas tracking secondary to thoracic pathology.
Case Presentation:
We report the case of a 76-year-old female with a remote history of hiatal hernia repair who developed chronic gastrointestinal symptoms associated with pneumoperitoneum and PCI, complicated by a bronchoperitoneal fistula. While the most bronchoperitoneal fistulas reported are due to thoracic pathology, we suggest that in this case, the fistula may be associated with PCI-related pneumoperitoneum.
Conclusions:
The case demonstrates unique clinical and diagnostic features and raises the possibility of an atypical pathophysiologic association for broncho-peritoneal fistula formation.
Related Concept Videos
Pneumothorax-II
Clinical Manifestations:
Intestinal Obstruction II: Pathophysiology
Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD:
Pneumothorax-I
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Chronic Bowel Disorders: Introduction
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Pneumothorax II: Pathophysiology