CHSJ

Curr Health Sci J, vol. 46, no. 4, 2020

Chronic Spontaneous Pneumoperitoneum with Pneumatosis Cystoides Intestinalis of the Small and Large Intestine

[Case Report]

S. HAKIM(1), M.A. SHAFI(1), D. GANESHAN(2), M.S. BHUTANI(1)


(1)Department of Gastroenterology, Hepatology and Nutrition, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA,
(2)Department of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA


Abstract:

Pneumoperitoneum can be an alarming radiological finding and a manifestation of a surgical emergency that warrant urgent intervention, or it can be a manifestation of chronic benign condition that can be managed conservatively. The sequela of misdiagnosing pneumoperitoneum due to surgical abdomen as a chronic benign pneumoperitoneum can be life-threatening and misdiagnosing chronic spontaneous pneumoperitoneum due to chronic condition as surgical emergency will lead to unnecessary surgical interventions. Diagnosis of chronic spontaneous pneumoperitoneum can be challenging to the unwary healthcare-providers. We present a case of chronic pneumoperitoneum secondary to pneumatosis cystoides intestinalis that has been managed conservatively.


Keywords: Small Bowel Lymphoma, Pneumatosis Intestinalis, Pneumoperitoneum, Spontaneous Pneumoperitoneum and Non-Surgical Pneumoperitoneum.



Corresponding: Manoop S. Bhutani, Department of Gastroenterology, Hepatology and Nutrition-Unit 1466, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., Houston, Texas, USA 77030-4009, e-mail: manoop.bhutani@mdanderson.org


DOI 10.12865/CHSJ.46.04.17 - Download PDF
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