Acute pneumatosis cystoides intestinalis with atrophic desmosis of the colon in a child

BMJ Case Rep. 2017 Jun 19:2017:bcr2017219310. doi: 10.1136/bcr-2017-219310.

Abstract

Acute pneumatosis cystoides intestinalis (PCI) has been described after bone marrow transplantation (BMT). Several case series have demonstrated successful conservative treatment of PCI in children. We present a child with Fanconi anaemia, who developed severe graft versus host disease of the gastrointestinal tract, skin and liver after BMT and an acute, severe form of PCI. Our case report illustrates the complexity of diagnostic and therapeutic procedures in PCI in immunocompromised children.

Keywords: GI bleeding; gastrointestinal surgery; haematology (incl blood transfusion); paediatric surgery; radiology.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Atrophy / complications*
  • Atrophy / pathology
  • Bone Marrow Transplantation / adverse effects*
  • Colectomy / methods
  • Colon / pathology*
  • Diagnosis, Differential
  • Graft vs Host Disease / complications*
  • Graft vs Host Disease / drug therapy
  • Humans
  • Male
  • Pneumatosis Cystoides Intestinalis / diagnostic imaging*
  • Pneumatosis Cystoides Intestinalis / surgery
  • Pneumatosis Cystoides Intestinalis / therapy
  • Postoperative Complications / etiology
  • Tomography, X-Ray Computed / methods
  • Treatment Outcome