E-ISSN 2149-9934
*
Pneumatosis Cystoides Intestinalis Due to Cholelithiasis: A Case Report
1 Department of Emergency Medicine, Ataturk University School of Medicine, Erzurum, Turkey  
JEMCR 2017; 8: 1-3
DOI: 10.5152/jemcr.2016.1577
This article was viewed 414 times, downloaded 220 times

Key Words: Cholelithiasis, pneumatosis cystoides intestinalis, abdominal pain
Abstract

Introduction: Pneumatosis cystoides intestinalis (PCI) is a rare condition with an unknown origin, defined as the appearance of gas-filled cysts in the intestinal wall. It usually occurs due to other clinical origins. Radiological imaging has been suggested for diagnosis. The treatment varies according to the patient’s clinical condition and radiological imagings from conservative treatment to the intestinal resection.

 

Case Report: A 77 year-old female patient presented to the emergency room with abdominal pain, nausea, vomiting, constipation, and abdominal distention. The patient’s vital signs were in the normal range. Physical examination revealed an abdominal distention with inspection and general abdominal tenderness in all quadrants, especially the right upper side, with palpation. Intestinal-type air-fluid level was seen on direct abdominal radiography; therefore, we performed abdominal CT. CT detected the gall stone with free air around the stone and PCI view on the intestinal wall

 

Conclusion: An emergency physician should keep PCI in mind; they should not misinterpret findings with intestinal obstruction and mesenteric ischemia on radiological scans and clinical signs. An emergency physician should keep PCI in mind. They should not misinterpret findings with intestinal obstruction and mesenteric ischemia on radiological scans and clinical signs.

Key Words
Authors
All
Author’s Corner
Reviewer's Corner
Survey
AVES | Copyright © 2017 Emergency Medicine Physicians Association of Turkey | Latest Update: 07.04.2017