[High occlusion revealing diffuse pneumatosis cystoides intestinalis]

Pan Afr Med J. 2021 Mar 22:38:297. doi: 10.11604/pamj.2021.38.297.27929. eCollection 2021.
[Article in French]

Abstract

Pneumatosis cystoides intestinalis is a rare disorder characterized by the presence of gas-filled cysts in the intestinal wall. It can involve the whole digestive tract, in particular the small intestine and the colon. Diagnosis is based on computed tomography (CT) scan, surgery is performed in patients with complications. We here report a rare case of diffuse pneumatosis cystoides intestinalis resulting in occlusive events requiring surgery. This consisted of resection of proximal small intestine (120 cm) followed by termino-terminal microsurgical anastomosis 5 cm from the duodeno-jejunal flexure.

Keywords: Pneumatosis cystoides intestinalis; occlusion; surgical approach.