{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T15:03:41Z","timestamp":1785164621572,"version":"3.55.0"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:00:00Z","timestamp":1783468800000},"content-version":"vor","delay-in-days":7,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,7,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Pneumatosis cystoides intestinalis (PCI) is a rare condition characterized by the presence of multiple gas-filled cysts within the wall of the gastrointestinal tract, leading to variable clinical presentations and diagnostic challenges. A bronchoperitoneal fistula is an exceedingly rare complication, typically resulting from downward gas tracking secondary to thoracic pathology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>We report the case of a 76-year-old female with a remote history of hiatal hernia repair who developed chronic gastrointestinal symptoms associated with pneumoperitoneum and PCI, complicated by a bronchoperitoneal fistula. While the most bronchoperitoneal fistulas reported are due to thoracic pathology, we suggest that in this case, the fistula may be associated with PCI-related pneumoperitoneum.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The case demonstrates unique clinical and diagnostic features and raises the possibility of an atypical pathophysiologic association for broncho-peritoneal fistula formation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/omcr\/omag116","type":"journal-article","created":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T13:53:14Z","timestamp":1783518794000},"source":"Crossref","is-referenced-by-count":0,"title":["Bronchoperitoneal fistula in a patient with pneumatosis Cystoides intestinalis: a diagnostic challenge"],"prefix":"10.1093","volume":"2026","author":[{"given":"Idan","family":"Grossmann","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Hackensack Meridian Health Jersey Shore University Medical Center , 1945 NJ-33, Neptune City, NJ, 07753 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aubin","family":"Attila","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Hackensack Meridian Health Jersey Shore University Medical Center , 1945 NJ-33, Neptune City, NJ, 07753 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anid","family":"Hassan","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Hackensack Meridian Health Jersey Shore University Medical Center , 1945 NJ-33, Neptune City, NJ, 07753 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anasuya","family":"Brahmamdam","sequence":"additional","affiliation":[{"name":"Hospitalist, Hackensack Meridian Health Jersey Shore University Medical Center , 1945 NJ-33, Neptune City, NJ, 07753 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaimin","family":"Dudhia","sequence":"additional","affiliation":[{"name":"Hospitalist, Hackensack Meridian Health Jersey Shore University Medical Center , 1945 NJ-33, Neptune City, NJ, 07753 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Sebastian","sequence":"additional","affiliation":[{"name":"Department of Surgery, Hackensack Meridian Health Jersey Shore University Medical Center , 1945 NJ-33, Neptune City, NJ, 07753 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stuart","family":"Campbell","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Hackensack Meridian Health Jersey Shore University Medical Center , 1945 NJ-33, Neptune City, NJ, 07753 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5215-5456","authenticated-orcid":false,"given":"Aroob","family":"Farooqi","sequence":"additional","affiliation":[{"name":"Department of Medicine, Postgraduate Medical Institute, Ameer-ud-Din medical college , 6 Birdwood Road, Jinnah Town, Lahore, 54000 ,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-8208-0689","authenticated-orcid":false,"given":"Kamil Ahmad","family":"Kamil","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Mirwais Regional Hospital , Nawy Sarak near to Shahidano Chowk, District 1, 3801, Kandahar ,","place":["Afghanistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad Amir","family":"Hossain","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Hackensack Meridian Health Jersey Shore University , 1945 NJ-33, Neptune City, NJ, 07753 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lee","family":"Peng","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Hackensack Meridian Health Jersey Shore University , 1945 NJ-33, Neptune City, NJ, 07753 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,7,8]]},"reference":[{"key":"2026072710483691000_ref1","doi-asserted-by":"publisher","first-page":"601872","DOI":"10.3389\/fmed.2021.601872","article-title":"The role of hyperbaric oxygen therapy in pneumatosis Cystoides intestinalis-a scoping review","volume":"8","author":"Alpuim Costa","year":"2021","journal-title":"Front Med"},{"key":"2026072710483691000_ref2","doi-asserted-by":"publisher","first-page":"275","DOI":"10.1055\/s-0042-1744235","article-title":"Bronchoperitoneal fistula secondary to right lower lobe pneumonia","volume":"32","author":"Kumar","year":"2022","journal-title":"Indian J Radiol Imaging"},{"key":"2026072710483691000_ref3","doi-asserted-by":"publisher","first-page":"1091","DOI":"10.1111\/j.1440-1843.2008.01346.x","article-title":"Bronchoperitoneal fistula from a lung abscess","volume":"13","author":"Hsu","year":"2008","journal-title":"Respirology"},{"key":"2026072710483691000_ref4","doi-asserted-by":"publisher","first-page":"1058","DOI":"10.1016\/s0003-4975(99)00332-x","article-title":"Bronchoperitoneal fistula secondary to chronic Klebsiella pneumoniae subphrenic abscess","volume":"68","author":"Stockberger","year":"1999","journal-title":"Ann Thorac Surg"},{"key":"2026072710483691000_ref5","doi-asserted-by":"publisher","first-page":"106","DOI":"10.5334\/jbr-btr.890","article-title":"Pancreaticobronchial fistula diagnosed by MDCT","volume":"99","author":"Verlynde","year":"2015","journal-title":"J Belg Soc Radiol"},{"key":"2026072710483691000_ref6","doi-asserted-by":"publisher","first-page":"365","DOI":"10.1097\/00004836-200104000-00021","article-title":"Recurrent pneumonia from an ileobronchial fistula complicating Crohn's disease","volume":"32","author":"Gumbo","year":"2001","journal-title":"J Clin Gastroenterol"},{"key":"2026072710483691000_ref7","first-page":"151","article-title":"Colobronchial fistula: an unusual complication after peritonectomy and hyperthermic intra-peritoneal chemotherapy (HIPEC)","volume":"23","author":"Laterza","year":"2009","journal-title":"In Vivo"},{"key":"2026072710483691000_ref8","doi-asserted-by":"publisher","first-page":"432","DOI":"10.12659\/msm.891320","article-title":"Endobronchial valves in treatment of persistent air leaks: a systematic review of clinical evidence","volume":"21","author":"Gkegkes","year":"2015","journal-title":"Med Sci Monit"},{"key":"2026072710483691000_ref9","doi-asserted-by":"publisher","DOI":"10.3390\/jpm14020167","article-title":"The challenge of pneumatosis intestinalis: a contemporary systematic review","volume":"14","author":"Perrone","year":"2024","journal-title":"J Pers Med"},{"key":"2026072710483691000_ref10","doi-asserted-by":"publisher","first-page":"4932","DOI":"10.3748\/wjg.v17.i44.4932","article-title":"Pneumatosis cystoides intestinalis","volume":"17","author":"Azzaroli","year":"2011","journal-title":"World J Gastroenterol"},{"key":"2026072710483691000_ref11","doi-asserted-by":"publisher","first-page":"100","DOI":"10.1186\/s12876-018-0794-y","article-title":"Pneumatosis cystoides intestinalis: six case reports and a review of the literature","volume":"18","author":"Wang","year":"2018","journal-title":"BMC Gastroenterol"},{"key":"2026072710483691000_ref12","doi-asserted-by":"publisher","first-page":"2047","DOI":"10.1148\/rg.2021210060","article-title":"Ventilation-perfusion scan: a primer for practicing radiologists","volume":"41","author":"Derenoncourt","year":"2021","journal-title":"Radiographics."}],"container-title":["Oxford Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/omcr\/article-pdf\/2026\/7\/omag116\/68718874\/omag116.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/omcr\/article-pdf\/2026\/7\/omag116\/68718874\/omag116.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T14:48:41Z","timestamp":1785163721000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/omcr\/article\/doi\/10.1093\/omcr\/omag116\/8728300"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":12,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7,8]]}},"URL":"https:\/\/doi.org\/10.1093\/omcr\/omag116","relation":{},"ISSN":["2053-8855"],"issn-type":[{"value":"2053-8855","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,7]]},"published":{"date-parts":[[2026,7]]},"article-number":"omag116"}}