Cystic intestinal pneumatosis

Case contributed by Dr Domenico Nicoletti

Presentation

Diffuse abdominal pain after colonoscopy

Patient Data

Age: 55 years old
Gender: Male

At the level of the transverse colon and distal of the proximal descending colon multiple air filled cysts of various size are visible in the submucosa and subserosa, which in part are confluent. Associate multiple and extramural tiny gas bubbles, in the context of the adipose tissue of the mesentery in the left below the diaphragm, adjacent the colonic segments described. 

Case Discussion

The cystic pneumatosis is a rare benign disease of the gastro-enteric tract characterized by the presence of cysts containing gas at the level of the submucosa or the subserosal. The disease, asymptomatic, most often affects males between the fifth and sixth decades of life; the clinical manifestations are little relevance or absent. Sometimes subserous bubbles can break spontaneously with pneumoperitoneum

No treatment was performed and the patient was discharged.

 

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