Pneumatosis Cystoides Intestinalis - A Case Report

Authors

  • Md Abul Kasem Pramanik Associate Professor of Surgery, North Bengal Medical College, Sirajganj.
  • SM Khodeza Nahar Begum Consultant Pathologist, Xylia Medicare, Laxmipur, Rajshahi.
  • Ali Mohammad Rashid Junior Consultant, Deptt. of Anaesthesia, Rajshahi Medical College Hospital.
  • Md Kalimuddin Registrar, surgical unit, North Bengal Medical College, Sirajganj
  • Md Shahabuddin Medical officer, Bangladesh Clinic, Rajshahi
  • Md Nazmul Hasan Medical officer, Bangladesh Clinic, Rajshahi

DOI:

https://doi.org/10.3329/jbcps.v27i1.4243

Keywords:

Pneumatosis Cystoides Intestinalis

Abstract

Pneumatosis Cystoides Intestinalis is a rare condition characterised by gas-filled cysts in the wall of the smallgut and sometimes in its mesentry. When the process is limited to the large intestine, the term pneumatosis coli is used . The exact cause of the condition is unknown but it may develop in diseases like peptic ulcer, ulcerative colitis, regional enteritis, chronic bronchitis etc. The condition is usually diagnosed incidentally during abdominal scanning or investigation for the primary disease. Presentation as a case of gastric outlet obstruction (proximal jejunal obstruction) as happened in this case, is rare. A young adult male cultivator presented as a case of gastric outlet obstruction due to suspected chronic duodenal ulcer ( a common complication of Peptic ulcer disease in our country ). Per-operatively, gas filled cysts in proximal jejunum with almost obliteration of the lumen of the intestine was detected and diagnosed as a case of pneumatosis cystoides intestinalis and was treated with resection and anastomosis of the affected portion of gut. The patient is in good health even 5 years after the operation and showed no signs of recurrence of the condition.

DOI: 10.3329/jbcps.v27i1.4243

J Bangladesh Coll Phys Surg 2009; 27: 45-48

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How to Cite

Pramanik, M. A. K., Begum, S. K. N., Rashid, A. M., Kalimuddin, M., Shahabuddin, M., & Hasan, M. N. (2010). Pneumatosis Cystoides Intestinalis - A Case Report. Journal of Bangladesh College of Physicians and Surgeons, 27(1), 45–48. https://doi.org/10.3329/jbcps.v27i1.4243

Issue

Section

Case Reports