{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T07:10:08Z","timestamp":1756278608212,"version":"3.44.0"},"reference-count":11,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,5,18]]},"abstract":"<jats:p>Pneumatosisintestinalis (PI) is a radiological finding with about 0.03% incidence and incompletely understood pathogenesis. We report a case of PI with a rare presentation of pneumoperitoneum that underwent diagnostic surgery and finally diagnosed by midgut malrotation and antral stenosis. A 40-year-old man with 1-year history of dyspepsia and vomiting which was aggravated by 20\u2009kg underweight since 3 months ago, despite medications was presented. His imaging examinations showed partial antral obstruction besides pneumoperitoneum and gas collection in the small intestine wall, which were in favour of PI. Samplings of the small intestine during laparotomy reported simple serosal cysts. Persistence of his symptoms forced him to recourse to another hospital and their new imaging revealed Ladds\u2019 band in addition to mentioned findings in previous studies; he underwent subtotal gastrectomy plus Ladds\u2019 band division by Braun gastrojejunostomy. PI could be a presentation of antral stenosis and midgut malrotation. PI with pneumoperitoneum needs surgical interventions. Considering that most of the midgut malrotation cases are diagnosed in the first year of life and it is very rare in adults, it may bethat these new findings are due to adhesion band formation after the first surgery in this case.<\/jats:p>","DOI":"10.1136\/bcr-2017-223238","type":"journal-article","created":{"date-parts":[[2018,7,20]],"date-time":"2018-07-20T03:05:25Z","timestamp":1532055925000},"page":"bcr-2017-223238","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Pneumatosis intestinalis in an adult patient with antral stenosis and midgut malrotation"],"prefix":"10.1136","volume":"2018","author":[{"given":"Mehrnaz","family":"Mehrkhu","sequence":"first","affiliation":[{"name":"Department of Medicine, Student Research Committee, Lorestan University of Medical Sciences, Faculty of Medicine, Khorramabad, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iman","family":"Shirvani Dehkordi","sequence":"additional","affiliation":[{"name":"Department of Veterinary Medicine, Faculty of Veterinary Medicine, Shahrekord University, Shahrekord, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pooya","family":"Shirvani Dehkordi","sequence":"additional","affiliation":[{"name":"Department of Veterinary Medicine, Faculty of Veterinary Medicine, Shahrekord University, Shahrekord, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amir","family":"Shirvani Dehkordi","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Emergency Medicine Research Center (Al-Zahra Research Institute), Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,7,19]]},"reference":[{"key":"2025082623510984000_2018.jul19_1.bcr-2017-223238.1","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/j.ijscr.2016.03.044","article-title":"Pneumatosis intestinalis due to gastrointestinal amyloidosis: a case report and review of literature","volume":"23","author":"Khalid","year":"2016","journal-title":"Int J Surg Case Rep"},{"key":"2025082623510984000_2018.jul19_1.bcr-2017-223238.2","first-page":"2474515","article-title":"Pneumatosis cystoides intestinalis in patients with systemic sclerosis: a case report and review of 39 Japanese cases","volume":"2016","author":"Kaneko","year":"2016","journal-title":"Case Rep Gastrointest Med"},{"key":"2025082623510984000_2018.jul19_1.bcr-2017-223238.3","doi-asserted-by":"crossref","first-page":"762","DOI":"10.1016\/j.amjsurg.2015.09.010","article-title":"Estimating the risk of bowel ischemia requiring surgery in patients with tomographic evidence of pneumatosis intestinalis","volume":"212","author":"Umapathi","year":"2016","journal-title":"Am J Surg"},{"key":"2025082623510984000_2018.jul19_1.bcr-2017-223238.4","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2014-207234"},{"key":"2025082623510984000_2018.jul19_1.bcr-2017-223238.5","doi-asserted-by":"crossref","first-page":"4973","DOI":"10.3748\/wjg.v19.i30.4973","article-title":"A systematic analysis of pneumatosis cystoids intestinalis","volume":"19","author":"Wu","year":"2013","journal-title":"World J Gastroenterol"},{"key":"2025082623510984000_2018.jul19_1.bcr-2017-223238.6","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1186\/1752-1947-7-163","article-title":"Improvement of pneumatosis cystoides intestinalis after steroid tapering in a patient with bronchial asthma: a case report","volume":"7","author":"Ezuka","year":"2013","journal-title":"J Med Case Rep"},{"key":"2025082623510984000_2018.jul19_1.bcr-2017-223238.7","doi-asserted-by":"crossref","first-page":"896","DOI":"10.2169\/internalmedicine.40.896","article-title":"Pneumatosis cystoides intestinalis treated with hyperbaric oxygen therapy: usefulness of an endoscopic ultrasonic catheter probe for diagnosis","volume":"40","author":"Shimada","year":"2001","journal-title":"Intern Med"},{"key":"2025082623510984000_2018.jul19_1.bcr-2017-223238.8","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1016\/j.jemermed.2012.01.023","article-title":"Pneumatosis intestinalis and ulcerative colitis","volume":"44","author":"Schieber","year":"2013","journal-title":"J Emerg Med"},{"key":"2025082623510984000_2018.jul19_1.bcr-2017-223238.9","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v18.i5.453"},{"key":"2025082623510984000_2018.jul19_1.bcr-2017-223238.10","doi-asserted-by":"publisher","DOI":"10.1136\/bcr.01.2010.2622"},{"key":"2025082623510984000_2018.jul19_1.bcr-2017-223238.11","doi-asserted-by":"crossref","first-page":"137","DOI":"10.15562\/bmj.v3i3.91","article-title":"Adult midgut malrotation with ladd\u2019s band: a rare case report with review of literatures","volume":"3","author":"Hota","year":"2014","journal-title":"Bali Med J"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-223238","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T06:51:18Z","timestamp":1756277478000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-223238"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,7,19]]},"references-count":11,"alternative-id":["10.1136\/bcr-2017-223238"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-223238","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2018,7,19]]}}}