Diagnostic Challenges: Pneumatosis Cystoid Intestinalis Presenting as Pneumoperitoneum Leading to Wrong Management - A Case Report
Authors
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Abolfazl Hekmatshoar
Medical school, Sabzevar University of Medical Sciences, Sabzevar, Iran.
https://orcid.org/0009-0004-6029-9013
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Ali Khatib
Department of Nursing, Faculty of Nursing and Midwifery, Neyshabur University of Medical Sciences, Neyshabur, Iran.
https://orcid.org/0000-0003-3941-3905
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Yasaman Mohebbifar
Student Research Committee, Sabzevar University of Medical Sciences, Sabzevar, Iran.
https://orcid.org/0009-0005-6422-274X
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Shamim Shahrestani
Student Research Committee, Sabzevar University of Medical Sciences, Sabzevar, Iran.
https://orcid.org/0000-0003-1986-2586
DOI:
https://doi.org/10.22100/ijhs.v12i4.1263Keywords:
Pneumatosis cystoid Intestinalis, Pneumoperitoneum, MisdiagnosisAbstract
Pneumatosis cystoid intestinalis (PCI) is a rare disorder characterized by the presence of gas-filled cysts within the wall of the small or large intestine. Its radiologic appearance may closely mimic pneumoperitoneum, creating significant diagnostic challenges and increasing the risk of unnecessary surgical intervention. We report the case of a 37-year-old man who was misdiagnosed with bowel perforation and underwent laparotomy, which revealed PCI without evidence of perforation. As benign forms of PCI respond well to conservative management, clinicians should consider this entity when evaluating suspected pneumoperitoneum.
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