Pneumatosis intestinalis in an adult: a report of an unusual case

Shubhangi Vinayak Agale, Bhushan Malhari Warpe, Arvind Valand, Geeta Kumari


Pneumatosis intestinalis (PI) is a rare condition affecting 0.03-0.37% of general population. This entity has varied presentation which ranges from asymptomatic to surgical emergency in the form of acute abdomen. The acute abdomen presentation can be bowel necrosis, perforation or persistent bowel obstruction. We present a case of PI of small intestine in an adult patient admitted in emergency department who presented with acute abdomen and pneumo-peritoneum.


Pneumatosis (cystoides) intestinalis, Pneumatosis coli, Emphysematous gastroenteritis

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Berritto D, Crincoli R, Iacobellis F, Iasiello F, Pizza NL, Lassandro F, et al. Primary pneumatosis intestinalis of small bowel: a case of a rare disease. Case Rep Surg. 2014;1:1-4.

Wu LL, Yang YS, Dou Y, Liu QS. A systematic analysis of pneumatosis cystoids intestinalis. World J Gastroenterol. 2013;19:4973-8.

Slesser AA, Patel PH, Das SC, Leahy A, Livingstone J, Riaz AA. A rare case of segmental small bowel pneumatosis intestinalis: A case report. Int J Surg Case Rep. 2011;2:185-7.

Önder A, Kapan M, Önder H, Taşkesen F, Gül M, Aliosmanoğlu I, et al. Pneumatosis Cystoides Intestinalis: Clinical Experience in a Single Center. Eur J Gen Med. 2012;9:27-32.

Arikanoglu Z, Aygen E, Camci C, Akbulut S, Basbug M, Dogru O, Cetinkaya Z, Kirkil C. Pneumatosis cystoides intestinalis: a single center experience. World J Gastroenterol. 2012;18:453-7.

Azzaroli F, Turco L, Ceroni L, Galloni SS, Buonfiglioli F, Calvanese C, Mazzella G. Pneumatosis cystoides intestinalis. World J Gastroenterol. 2011;17:4932-6.

Greenstein AJ, Nguyen SQ, Berlin A, Corona J, Lee J, Wong E, et al. Pneumatosis intestinalis in adults: management, surgical indications, and risk factors for mortality. J Gastrointest Surg. 2007;11:1268-74.

Sakurai Y, Hikichi M, Isogaki J, Furuta S, Sunagawa R, Inaba K, et al. Pneumatosis cystoides intestinalis associated with massive free air mimicking perforated diffuse peritonitis. World J Gastroenterol. 2008;14:6753-6.

Ochiai T, Igri K, Kumagai Y, Iida M, Yamazaki S. Education and imaging. Gastrointestinal: massive portal venous gas and pneumatosis intestinalis. J Gastroenterol Hepatol. 2010;25:1178.

Dawe N, Akhtar S. Pneumatosis intestinalis presenting with a pneumoperitoneum in a patient with chronic bronchiectasis: a delayed diagnosis of superior mesenteric artery ischaemia. BMJ Case Rep. 2010;5:20-1.