{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T07:06:43Z","timestamp":1773299203411,"version":"3.50.1"},"reference-count":11,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"published-print":{"date-parts":[[2010]]},"abstract":"<jats:p>We describe a case of pneumatosis intestinalis (PI) in a 69-year-old woman presenting to the surgical department with non-specific abdominal pain and a pneumoperitoneum.<\/jats:p>\n               <jats:p>PI complicated by pneumoperitoneum was diagnosed on the basis of the characteristic clinical and abdominal CT findings, demonstrating a cystic gas pattern within the small bowel wall. In the context of resolving clinical findings, non-peritonitic abdomen and with no evidence of portal venous gas or perforation the patient was managed conservatively. The findings were considered benign and attributed to her chronic acquired bronchiectasis.<\/jats:p>\n               <jats:p>Following recurrence of symptoms after several months, further imaging confirmed chronic mesenteric ischaemia (CMI) involving the superior mesenteric artery. Angioplasty was performed and symptoms resolved.<\/jats:p>\n               <jats:p>PI is one of the few imaging signs to occur in CMI. PI presenting as a pneumoperitoneum is rare and may often lead to avoidable surgical intervention. However, no clear algorithm exists to guide surgical management.<\/jats:p>","DOI":"10.1136\/bcr.01.2010.2622","type":"journal-article","created":{"date-parts":[[2010,8,5]],"date-time":"2010-08-05T10:38:47Z","timestamp":1281004727000},"page":"bcr0120102622","source":"Crossref","is-referenced-by-count":8,"title":["Pneumatosis intestinalis presenting with a pneumoperitoneum in a patient with chronic bronchiectasis: a delayed diagnosis of superior mesenteric artery ischaemia"],"prefix":"10.1136","volume":"2010","author":[{"given":"Nicholas","family":"Dawe","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sidrah","family":"Akhtar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2010,8,5]]},"reference":[{"key":"2025082802263387000_2010.aug05_1.bcr0120102622.1","first-page":"419","article-title":"Pneumatosis cystoides intestinalis. 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