Pneumatosis cystoides coli

Case contributed by Mohammad Taghi Niknejad
Diagnosis certain

Presentation

Chronic non-specific abdominal pain.

Patient Data

Age: 55 years
Gender: Female
ct
This study is a stack
Axial C+ portal
venous phase
This study is a stack
Axial lung
window
This study is a stack
Coronal C+ portal
venous phase
This study is a stack
Coronal
lung window
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Info

Numerous intra-mural gas bubbles are seen in the wall of the transverse and splenic flexure colon. No intraperitoneal gas is noted.

An 8 mm cyst is noted at segment II of the liver.

Case Discussion

This case demonstrates intramural gas bubbles limited to the colonic wall, which is compatible with pneumatosis cystoides coli, a rare, idiopathic, and usually benign condition.

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