Pneumatosis coli

Case contributed by Mohammadtaghi Niknejad


Work up for abdominal pain.

Patient Data

Age: 50 years
Gender: Male

Multiple intramural air bubbles are seen in the wall of splenic flexure and proximal of descending colon, better seen on lung window, inferring pneumatosis coli. No intraperitoneal free air is noted.

The prostate gland is mildly enlarged. 

Degenerative changes such as osteophytosis are seen in the lumbar spine.
Grade I spondylolisthesis of L5 on S1 is present. 

Case Discussion

Pneumatosis coli refers to intramural gas limited to the colonic wall. In adults, it can have both benign and life-threatening causes and may need more evaluation regarding the patient history and symptoms. 

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