Pneumatosis Cystoides Intestinalis: Three Case Reports

  • Mehmet Akif ÜstünerEmail author
  • Tahsin Dalgıç
  • Erdal Birol Bostancı
Case Report


Pneumatosis cystoides intestinalis (PCI) is a rare presentation, characterized by air-filled cysts within the submucosa or subserosa layers of the bowel wall. It may either occur idiopathically or secondary to many conditions such as pyloric stenosis, endoscopic trauma, using antineoplastic agents, surgery, and COPD. It generally proceeds asymptomatically and it is determined incidentally during the imaging procedures implemented for another purpose or during colonoscopy. Here in this report, we present a series of three cases, namely the patient who applied with rectal bleeding and acute abdominal findings (case 1), another patient who was diagnosed with PCI after nonspecific abdominal pain (case 2), and an asymptomatic case who was previously operated due to colon cancer where PCI was determined in control colonoscopy (case 3).


Pneumatosis cystoides ıntestinalis Surgery Colonoscopy Intestinal wall 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.


  1. 1.
    Furihata T, Furihata M, Ishikawa K, Kosaka M, Satoh N, Kubota K (2016) Does massive intra abdominal free gas require surgical intervention? World J Gastroenterol 22(32):7383–7388CrossRefGoogle Scholar
  2. 2.
    Lee YS, Han JJ, Kim SY, Maeng CH (2017) Pneumatosis cystoides intestinalis associated with sunitinib and a literature review. BMC Cancer 17:732CrossRefGoogle Scholar
  3. 3.
    Pülat H, Çelik G, Sabuncuoğlu MZ, Benzin MF, Karaköse O, Çetin R (2017) Pneumatosis cystoides intestinalis: A rare cause of intraabdominal free air. Turk J Surg 33:315–317CrossRefGoogle Scholar
  4. 4.
    Gedik E, Girgin S (2006) Determination of perforated peptic ulcer and chronic obstructive pulmonary disease: pneumatosis cystoides intestinalis. Akademik Gastroenteroloji Dergisi 5(2):137–139Google Scholar
  5. 5.
    Florin TH, Hills BA (1995) Does counter perfusion supersaturation cause gas cysts in pneumatosis cystoides coli, and can breathing heliox reduce them? Lancet. 345(8959):1220–1222CrossRefGoogle Scholar
  6. 6.
    Wu LL, Yang YS, Dou Y, Liu QS (2013) A systematic analysis of pneumatosis cystoides intestinalis. World J Gastroenterol 19:4973–4978CrossRefGoogle Scholar
  7. 7.
    Polat C, Tokyol Ç, Sen S, Yazıcıoğlu B, Türel S (2008) Ascites, chronic duodenal ulcer and pyloric obstruction associated with pneumatosis cystoides intestinalis. Ulus Cerrahi Derg 24:205–207Google Scholar
  8. 8.
    Haltaş H, Yenidünya S, Akçay A, Köktener A, Bayrak R, Sürgit Ö (2012) İntestinal Perforasyonu Taklit Eden İntraperitoneal Masif Serbest Hava ile İlişkili Pnömatosis İntestinalis: Olgu Sunumu. İnönü Üniversitesi Tıp Fakültesi Dergisi 19:184–187Google Scholar

Copyright information

© Association of Surgeons of India 2019

Authors and Affiliations

  1. 1.Deparmant of Gastroenterolojıc SurgeryAnkara City HospitalAnkaraTurkey

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