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A Patient Suffering from Pneumatosis Cystoid Intestinalis

Keywords: Pneumatosis Cystoid Intestinalis , Pneumoperitoneum , Pelvic Trauma

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Abstract:

Pneumatosis Cystoid Intestinalis (PCI) is a relatively rare disorder that occurs in different parts of the stomach and intestines as gas-filled cysts. It is predicted to be prevalent among 0/2- 0/03% of the population. In 85% of cases, Pneumatosis Cystoid Intestinalis is caused by a specific disease. In this article, a patient will be introduced who was admitted 3 days after the pelvic trauma presented with symptoms of intestinal obstruction. The conducted examinations showed generalized abdominal tenderness and in CXR plenty of free air was observed under the diaphragm. After the primary diagnosis of intestinal obstruction (ileus), the patient was put under laparotomy. During laparotomy, PCI was seen under the intestinal serosa and a significant amount of air was released and many parts of contusion were observed in the small intestine along with fibrin formation without pus which was restored and the patient was discharged in a well general condition.

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