Pneumatosis Cystoides Intestinalis – An Incidental Post-Operative Rare Case Report in Port Sudan Teaching Hospital, Sudan

Abstract

Background
: Pneumatosis intestinalis also called Pneumatosis cys-
toides intestinalis (PCI) is a rare disease and difficult to diagnosis
that confuses many doctors. A vast number of factors are suspected
to contribute to its pathogenesis, such as Crohn’s disease, intestinal
stenosis,ulcerativecolitis,druguse,extra-gastrointestinaldiseases,and
chronic obstructive pulmonary disease.
Case report:
A 41-year-old man presented to port Sudan teaching
hospital on 20 July 2021 with symptoms of abdominal pain, abdominal
distension. A physical examination revealed tenderness all over the ab-
domen.Thenpatientwasadmittedtothehospital,andresuscitationwas
done. Laboratory investigations revealed no abnormalities. Radiologi-
cal investigation: abdominal ultrasonography and plain abdomen x-ray
showed signs of intestinal obstruction. Finally, patient was undergone
exploratorylaparotomyonnextday.Finaldiagnosisreachedafterresult
of histopatlogy was presented as: Pneumatosis cystoides intestinalis.
Conclusions
: Pneumatosis intestinalis difficult to diagnosis, so an
efficient recognition of the clinical scenario, encompassing the current
clinical context, comorbid conditions, physical examination findings,
laboratory data, and radiographic details, assists the clinician in reach-
ing the correct diagnosis and offering appropriate treatment.