Year 2020 / Volume 112 / Number 10
Letter
Pneumatosis cystoides intestinalis: a rare cause of acute abdomen

813-814

DOI: 10.17235/reed.2020.6906/2020

Raquel Rodríguez García, Teresa Ramos Grande, Luis Muñoz Bellvís,

Abstract
We present the case of an 87-year-old male with Parkinson’s disease, admitted to the Emergency Room due to acute abdomen, without leukocytosis or neutrophilia, with PCR of 0.74 and lactate of 2.5. The emergency abdominal computed tomography (CT) scan showed a pneumoperitoneum and significant intestinal pneumatosis on the small bowel loops in the right abdomen. There was a 3.2 cm slight dilation, without portal venous gas and an adequate opacification of the superior mesenteric artery and its main branches. An emergency laparotomy was performed that showed subserosal cysts in the jejunum and ileum, with no signs of transmural perforation. The patient was discharged after a good postoperative evolution.
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References
1. Intestinal pneumatosis and pneumoperitoneum in an oncological scenario: a change of attitude. de la Serna S, Luna A, de la Rosa H. Rev Esp Enferm Dig. 2018 Jan;110(1):68-69. doi: 10.17235/reed.2017.5333/2017.
2. A pneumoperitoneum due to intestinal cystic pneumatosis associated with a tyrosine kinase inhibitor. Martín-Lagos Maldonado A et al. Rev Esp Enferm Dig. 2018 Aug;110(8):531-532. doi: 10.17235/reed.2018.5588/2018.
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Rodríguez García R, Ramos Grande T, Muñoz Bellvís L. Pneumatosis cystoides intestinalis: a rare cause of acute abdomen . 6906/2020


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Publication history

Received: 23/01/2020

Accepted: 09/02/2020

Online First: 21/09/2020

Published: 07/10/2020

Article Online First time: 242 days

Article editing time: 258 days


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