Pneumatosis coli

Discussion:

Pneumatosis coli is a rare but benign disease characterized by intramural gas collections of encysted gas occurring within the submucosa and subserosa of the colon causing mural thickening. Patients usually present with nonspecific abdominal pain and excessive flatulence. Most causes are idiopathic but one of the most accepted theories is the entry of air through the intestinal mucosa.

This is a case of benign pneumatosis with intraperitoneal rupture and secondary colonic inflammation.

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