Pneumatosis cystoides intestinalis associated with massive free air mimicking perforated diffuse peritonitis

Yoichi Sakurai, Masahiro Hikichi, Jun Isogaki, Shinpei Furuta, Risaburo Sunagawa, Kazuki Inaba, Yoshiyuki Komori, Ichiro Uyama

Research output: Contribution to journalArticlepeer-review

12 Citations (Scopus)

Abstract

While pneumatosis cystoides intestinalis (PCI) is a rare disease entity associated with a wide variety of gastrointestinal and non-gastrointestinal disorders, PCI associated with massive intra- and retroperitoneal free air is extremely uncommon, and is difficult to diagnose differentially from perforated peritonitis. We present two cases of PCI associated with massive peritoneal free air and/or retroperitoneal air that mimicked perforated peritonitis. These cases highlight the clinical importance of PCI that mimics perforated peritonitis, which requires emergency surgery. Preoperative imaging modalities and diagnostic laparoscopy are useful to make an accurate diagnosis.

Original languageEnglish
Pages (from-to)6753-6756
Number of pages4
JournalWorld Journal of Gastroenterology
Volume14
Issue number43
DOIs
Publication statusPublished - 21-11-2008

All Science Journal Classification (ASJC) codes

  • Gastroenterology

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