{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T13:05:55Z","timestamp":1774443955380,"version":"3.50.1"},"reference-count":11,"publisher":"International College of Surgeons","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,2]]},"abstract":"Pneumatosis cystoides intestinalis (PCI), with an unknown etiology, is an uncommon disease characterized by the presence of multiple gas-filled cysts within the submucosa or subserosa of the intestinal wall. Intestinal obstruction and\/or perforation are relatively uncommon complications associated with PCI. The patients are often prone to misdiagnosis or mistreatment. The diagnosis of PCI is based on plain radiography or endoscopy. Multidetector computed tomography (MDCT) provides data on other intra-abdominal pathologies. Therefore, it is an important modality for the diagnosis of PCI. We present a case of PCI in a 58-year-old man affected by peritoneal free air with multidetector computed tomography imaging findings. We performed the plain film of the abdomen, and MDCT studies that showed numerous, diffuse, bubble-like intramural gas collections into the jejunum, ileum, and colon walls at the left-upper quadrant of the abdomen. MDCT findings were confirmed by surgical exploration.<\/jats:p>","DOI":"10.9738\/intsurg-d-13-00238.1","type":"journal-article","created":{"date-parts":[[2015,2,18]],"date-time":"2015-02-18T21:49:28Z","timestamp":1424296168000},"page":"221-224","source":"Crossref","is-referenced-by-count":6,"title":["Pneumatosis Cystoides Intestinalis: An Unusual Cause of Intestinal Ischemia and Pneumoperitoneum"],"prefix":"10.9738","volume":"100","author":[{"given":"Hayri","family":"Ogul","sequence":"first","affiliation":[{"name":"Department of Radiology, Medical Faculty, Ataturk University, Erzurum, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Berhan","family":"Pirimoglu","sequence":"additional","affiliation":[{"name":"Department of Radiology, Medical Faculty, Ataturk University, Erzurum, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdullah","family":"Kisaoglu","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Medical Faculty, Ataturk University, Erzurum, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leyla","family":"Karaca","sequence":"additional","affiliation":[{"name":"Department of Radiology, Medical Faculty, Ataturk University, Erzurum, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nuri","family":"Havan","sequence":"additional","affiliation":[{"name":"Afsin Public Hospital, Radiology Clinic, Kahramanmaras, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bunyami","family":"Ozogul","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Medical Faculty, Ataturk University, Erzurum, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mecit","family":"Kantarci","sequence":"additional","affiliation":[{"name":"Department of Radiology, Medical Faculty, Ataturk University, Erzurum, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"4721","reference":[{"issue":"1","key":"i0020-8868-100-2-221-b01","series-title":"Dig Liver Dis","first-page":"79","article-title":"Computed tomographic colonography in diagnosis of asymptomatic pneumatosis cystoides intestinalis [abstract]","volume":"45","author":"Masuda\n N,","year":"2013","unstructured":"Masuda\n N, \n \n Nagata\n K, \n \n Mitsushima\n T, \n \n Fujiwara\n M. \n \n Computed tomographic colonography in diagnosis of asymptomatic pneumatosis cystoides intestinalis [abstract]. Dig Liver Dis2013;45(1):79"},{"issue":"3","key":"i0020-8868-100-2-221-b02","series-title":"AJR Am J Roentgenol","first-page":"733","article-title":"Pneumatosis intestinalis in patients with ischemia: correlation of CT findings with viability of the bowel","volume":"180","author":"Kernagis\n LY,","year":"2003","unstructured":"Kernagis\n LY, \n \n Levine\n MS, \n \n Jacobs\n JE. \n \n Pneumatosis intestinalis in patients with ischemia: correlation of CT findings with viability of the bowel. AJR Am J Roentgenol2003;180(3):733\u2013736"},{"issue":"6","key":"i0020-8868-100-2-221-b03","series-title":"Can J Emerg Med","first-page":"416","article-title":"Benign pneumatosis intestinalis: a cause of massive pneumoperitoneum in the adult","volume":"5","author":"Liu\n DM,","year":"2003","unstructured":"Liu\n DM, \n \n Torreggiani\n WC, \n \n Rowan\n K, \n \n Nicolaou\n S. \n \n Benign pneumatosis intestinalis: a cause of massive pneumoperitoneum in the adult. Can J Emerg Med2003;5(6):416\u2013420"},{"issue":"1","key":"i0020-8868-100-2-221-b04","series-title":"Radiology","first-page":"13","article-title":"Pneumatosis intestinalis: a review","volume":"207","author":"Pear\n BL.","year":"1998","unstructured":"Pear\n BL. \n \n Pneumatosis intestinalis: a review. Radiology1998;207(1):13\u201319"},{"key":"i0020-8868-100-2-221-b05","series-title":"Am J Roentgenol Radium Ther","first-page":"464","article-title":"Pneumatosis intestinalis: its roentgenologic diagnosis","volume":"56","author":"Lerner\n HH,","year":"1946","unstructured":"Lerner\n HH, \n \n Gazin\n AI. \n \n Pneumatosis intestinalis: its roentgenologic diagnosis. Am J Roentgenol Radium Ther1946;56:464\u2013469"},{"issue":"30","key":"i0020-8868-100-2-221-b06","series-title":"World J Gastroenterol","first-page":"4973","article-title":"A systematic analysis of pneumatosis cystoids intestinalis","volume":"19","author":"Wu\n LL,","year":"2013","unstructured":"Wu\n LL, \n \n Yang\n YS, \n \n Dou\n Y, \n \n Liu\n QS. \n \n A systematic analysis of pneumatosis cystoids intestinalis. World J Gastroenterol2013;19(30):4973\u20134978"},{"issue":"1","key":"i0020-8868-100-2-221-b07","series-title":"Dig Liver Dis","first-page":"87","article-title":"Pneumatosis cystoides intestinalis: imaging findings with colonoscopy correlation","volume":"39","author":"Donati\n F,","year":"2007","unstructured":"Donati\n F, \n \n Boraschi\n P, \n \n Giusti\n S, \n \n Spallanzani\n S. \n \n Pneumatosis cystoides intestinalis: imaging findings with colonoscopy correlation. Dig Liver Dis2007;39(1):87\u201390"},{"key":"i0020-8868-100-2-221-b08","series-title":"Eurasian J Med","first-page":"50","article-title":"Abdominal perfusion computed tomography","volume":"45","author":"Ogul\n H,","year":"2013","unstructured":"Ogul\n H, \n \n Bayraktutan\n U, \n \n Kizrak\n Y, \n \n Pirimoglu\n B, \n \n Yuceler\n B, \n \n Sagsoz\n ME\n \n et al\n . Abdominal perfusion computed tomography. Eurasian J Med2013;45:50\u201357"},{"issue":"9563","key":"i0020-8868-100-2-221-b09","series-title":"Lancet","first-page":"766","article-title":"Pneumatosis cystoides intestinalis","volume":"369","author":"Di Giorgio\n A,","year":"2007","unstructured":"Di Giorgio\n A, \n \n Sofo\n L, \n \n Ridolfini\n MP, \n \n Alfieri\n S, \n \n Doglietto\n GB. \n \n Pneumatosis cystoides intestinalis. Lancet2007;369(9563):766"},{"issue":"39","key":"i0020-8868-100-2-221-b10","series-title":"World J Gastroenterol","first-page":"6087","article-title":"Pneumatosis cystoides intestinalis following alpha-glucosidase inhibitor treatment: a case report and review of the literature","volume":"14","author":"Tsujimoto\n T,","year":"2008","unstructured":"Tsujimoto\n T, \n \n Shioyama\n E, \n \n Moriya\n K, \n \n Kawaratani\n H, \n \n Shirai\n Y, \n \n Toyohara\n M\n \n et al\n . Pneumatosis cystoides intestinalis following alpha-glucosidase inhibitor treatment: a case report and review of the literature. World J Gastroenterol2008;14(39):6087\u20136092"},{"issue":"9","key":"i0020-8868-100-2-221-b11","series-title":"Am Surg","first-page":"862","article-title":"Conservative management of nongangrenous esophageal and gastric pneumatosis","volume":"73","author":"Mclaughlin\n SA,","year":"2007","unstructured":"Mclaughlin\n SA, \n \n Nguyen\n JH. \n \n Conservative management of nongangrenous esophageal and gastric pneumatosis. 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