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Rossetto A, Brizzolari M, Scarpa E, et al. The dilemma of pneumatosis intestinalis with pneumoperitoneum: nonoperative or surgical management-analysis of a case. Case Rep Med. 2013;2013:564385doi: 10.1155/2013/564385.
Rossetto, A., Brizzolari, M., Scarpa, E., Terrosu, G., & Bresadola, V. (2013). The dilemma of pneumatosis intestinalis with pneumoperitoneum: nonoperative or surgical management-analysis of a case. Case reports in medicine, 2013564385. https://doi.org/10.1155/2013/564385
Rossetto, A, et al. "The dilemma of pneumatosis intestinalis with pneumoperitoneum: nonoperative or surgical management-analysis of a case." Case reports in medicine vol. 2013 (2013): 564385. doi: https://doi.org/10.1155/2013/564385
Rossetto A, Brizzolari M, Scarpa E, Terrosu G, Bresadola V. The dilemma of pneumatosis intestinalis with pneumoperitoneum: nonoperative or surgical management-analysis of a case. Case Rep Med. 2013;2013:564385. doi: 10.1155/2013/564385. Epub 2013 Apr 04. PMID: 23653655; PMCID: PMC3638546.
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Case Rep Med. 2013;2013:564385. doi: 10.1155/2013/564385. Epub 2013 Apr 04.

The dilemma of pneumatosis intestinalis with pneumoperitoneum: nonoperative or surgical management-analysis of a case.

Case reports in medicine

A Rossetto, M Brizzolari, E Scarpa, G Terrosu, V Bresadola

Affiliations

  1. Department of General Surgery, University Hospital of Udine, 33100 Udine, Italy.

PMID: 23653655 PMCID: PMC3638546 DOI: 10.1155/2013/564385

Abstract

Pneumatosis intestinalis (PI) is an uncommon condition and can be associated with a wide spectrum of diseases, ranging from life-threatening to innocuous conditions. We report the case of a 46-year-old women coming to our attention for an acute abdominal pain, nausea, vomiting, constipation, and increased inflammatory marks, with a CT showing pneumoperitoneum and pneumatosis intestinalis. The previous diagnosis was advanced neoplasia of unknown origin. Despite the surgical intervention, which excluded an ischemic colitis, the patient died in the early postoperative period. The postmortem diagnosis was carcinoma of thymus gland, and the presence of pneumatosis was put down to metastasis nodes in the pulmonary parenchima. This case demonstrates the wide spectrum of presentation of pneumatosis intestinalis, the importance of a careful radiologic evaluation beside the clinical history, since the identification of correct pathogenesis and treatment can be very difficult.

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