Presentation
Pain, previous bowel obstruction, abdominal distension, constipation. The patient had no signs of peritoneal irritation.
Patient Data
In the abdominal cavity and pelvis there is a large amount of free fluid, small and large bowel loops distention on the background of hypoproteinemia due to chronic hepatitis.
Diffuse loculated gas throughout the abdomen surrounding loops of the small bowel.
Case Discussion
Pneumatosis cystoides intestinalis is a rare and benign subtype of intestinal pneumatosis. It is characterized by multi-chamber, gas-filled cysts in the submucosal and subserous membranes of the intestine and occur anywhere in the gastrointestinal tract (mesentery, omentum, hepatogastric ligament), but most commonly in the colon.
This condition may be associated with various diseases such as inflammatory bowel disease, sigmoid volvulus, COPD and may mimic intestinal ischemia.