Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Pneumatosis intestinalis is a secondary finding caused by an underlying disease. Mucosal integrity, intraluminal pressure, bacterial flora and intraluminal gas have an interactive role in the formation of the pneumocysts. He challenge facing surgeons asked to evaluate patients with PI is to identify those who require surgery. Here is case report of a 62 yr old male who is presented with interesting features of pneumotosis instestinalis. A 62 yr old male with a known case of COPD came with complains of abdominal distension and features suggestive of intestinal obstruction such as vomiting and obstipation since 2 days He also complains of shortness of breath since the past 4 weeks for which he was on regular inhalers and nebulisation at home Plain CT was performed demonstrating air within the wall of the bowel wall. Intraoperatively shows air bubble within the wall of small bowel .No signs of ischemia/inflammation/perforation/peritonitis. Pneumatosis intestinalis is currently best diagnosed by plain abdominal radiography or ultrasonography and specifically delineated by CT scan. The challenge facing surgeons asked to evaluate patients with Pneumatosis intestinalis is to identify those who require surgery.
How to cite this article:
S.R. Manjunath, S.P. Girish and Sam Joy. Pneumotosis Intestanalis: A Diagnostic Dilemma.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.12.639.642
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.12.639.642