Pneumatosis cystoides intestinalis in an elderly patient, better to be safe than sorry

Abstract

Pneumatosis cystoides intestinalis is a rare pathology with nonspecific symptoms that can be easily misdiagnosed. Clinical awareness along with close surveillance is critical to effectively diagnose and treat this condition. Current treatment is based on conservative therapy including antibiotics and oxygen. Surgery is only recommended when complications are suspected. Here, we present the case of a 72-year-old female admitted to the emergency department with abdominal pain and vomits. Pneumatosis cystoides intestinalis was diagnosed and was successfully treated. On follow-up visits, patient is recovering and doing well.

Pneumoperitoneum and Pneumatosis cystoides intestinalis, a dangerous mixture. A case report

“…Although not proved, there is the assumption that the gas enters the tissue form a defect in the epithelial layer of the bowel; nevertheless, the areas of gas are generally in areas without any ulcers, other theories involve the lungs or an increase in the aerogenic bacterias [ 1 , 4 ]. PCI usually has a preference for middle age (45.3 ± 15.6 years) male patients (2.4: 1 male to female ratio) [ 1 , 2 , 5 ]. In our case, the patient was a 79-year-old male with Alzheimer’s, a history of weight loss, and an umbilical hernia.…”