Pneumatosis intestinalis as a manifestation of chronic intestinal volvulus: case report

Ricardo-Raziel Peña-González; Ricardo-Paul Arellano-López; Erick Fernando Hernández; Brandon-Rafael Contreras-Díaz; Williams O. Ramírez-Miguel; Eduardo Aguilera-Callejas; Jonathan Quiroz-Alvarez; Gabriela E. Gutiérrez-Uvalle

doi:10.18203/2349-2902.isj20240669

Authors

Ricardo-Raziel Peña-González Department of General Surgery, Hospital General de México, Mexico City, Mexico
Ricardo-Paul Arellano-López Department of General Surgery, Hospital General de México, Mexico City, Mexico
Erick Fernando Hernández Department of General Surgery, Hospital General de México, Mexico City, Mexico
Brandon-Rafael Contreras-Díaz Department of General Surgery, Hospital General de México, Mexico City, Mexico
Williams O. Ramírez-Miguel Department of General Surgery, Hospital General de México, Mexico City, Mexico
Eduardo Aguilera-Callejas Department of General Surgery, Hospital General de México, Mexico City, Mexico
Jonathan Quiroz-Alvarez Department of General Surgery, Hospital General de México, Mexico City, Mexico
Gabriela E. Gutiérrez-Uvalle Department of General Surgery, Hospital General de México, Mexico City, Mexico

DOI:

https://doi.org/10.18203/2349-2902.isj20240669

Keywords:

Volvulus, Pneumatosis, Acute abdomen

Abstract

The pneumatosis cystoides intestinalis (PCI) is a rare disease characterized by presence of gaseous cysts containing nitrogen, hydrogen and carbon dioxide in the intestinal wall that can be idiopathic or associated with other diseases. There are 5 theories about the pathophysiology: mechanic (obstruction), immunosuppression (atrophy of Peyer's patches), bacterial (Clostridium spp.), pulmonary (chronic pulmonary disease) and chemical (exposure to trichloroethylene). The aim of this paper is to present a clinical case of a patient with rheumatic comorbidity admitted to the emergency service and diagnosed with acute abdomen secondary to intestinal volvulus associated with pneumatosis intestinalis.

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