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Emergency laparotomy revealed extensive small gas-filled blisters in the submucosa of the mid-small bowel, consistent with pneumatosis intestinalis. Adhesiolysis was performed, and the bowels were inspected thoroughly. No obvious alternative pathology was identified for the patient\u2019s symptoms.<\/jats:p>","DOI":"10.1136\/bcr-2025-264888","type":"journal-article","created":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T09:25:13Z","timestamp":1753435513000},"page":"e264888","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Pneumatosis intestinalis presenting with acute abdomen"],"prefix":"10.1136","volume":"18","author":[{"given":"Cameron","family":"Fleming","sequence":"first","affiliation":[{"name":"Department of Colorectal Surgery, Royal Liverpool University Hospital, Liverpool, England, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Conor Joseph","family":"Hardacre","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, Royal Liverpool University Hospital, Liverpool, England, UK"},{"name":"University of Liverpool, Liverpool, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ayaz","family":"Memon","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, Royal Liverpool University Hospital, Liverpool, England, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,7,25]]},"reference":[{"key":"2025082702422426000_18.7.e264888.1","doi-asserted-by":"crossref","unstructured":"Logue G , Chaudhry M . 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Pneumatosis Intestinalis and Pneumoperitoneum without Bowel Injury. ACS Case Rev Surg 2021;20\u20133."},{"key":"2025082702422426000_18.7.e264888.11","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":"2025082702422426000_18.7.e264888.12","unstructured":"Jandu JS , Boppana SH , Reddy PA , et al . Case Report: Pneumatosis Cystoides Intestinalis. 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