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Case Report
Pneumatosis cystoides intestinalis revealed by an occlusive syndrome: A case report
1 Assistant Professor, Joseph KI-ZERBO University, Department of Anatomy and Pathological Cytology, CHU - Tengandogo, Ouagadougou, Burkina Faso
2 Associate Professor, Joseph KI-ZERBO University, Department of Anatomy and Pathological Cytology, CHU - Bogodogo, Ouagadougou, Burkina Faso
3 Assistant Professor, Department of Anatomy and Pathological Cytology, Ouahigouya University, CHUR - Ouahigouya, Burkina Faso
4 Assistant Professor at Joseph KI-ZERBO University, Department of Histo-embryo-cytogenetics, CHU - Bogodogo, Ouagadougou, Burkina Faso
5 Hospital Assistant, University Hospital Center CHU - Tengandogo, Ouagadougou, Burkina Faso
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Franck Auguste Hermann Adémayali Ido
11 BP 104 CMS, Ouagadougou 01, Ouagadougou,
Burkina Faso
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Article ID: 100072Z11FI2023
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Ido FAHA, Ouedraogo AS, Savadogo I, Ouedraogo RA, Ouattara S. Pneumatosis cystoides intestinalis revealed by an occlusive syndrome: A case report. J Case Rep Images Pathol 2023;9(1):29–33.ABSTRACT
Introduction: Pneumatosis cystoides intestinalis is a rare condition characterized by the presence of gas cysts in the intestinal wall. It can affect different segments of the digestive tract. Male patients over 50 years old seem to be more affected. Classically, one opposes the primary or idiopathic forms and the secondary forms.
Case Report: We report the case of a 62-year-old female patient with a history of treated peptic ulcers, who presented with episodes of intermittent atypical abdominal pain that worsened abruptly. The physical examination revealed a surgical abdomen with tenderness to palpation. The patient underwent a jejunal resection. The pathological examination showed macroscopically an intestinal fragment with confluent subserosal and intestinal intraparietal bullae. On opening, the portion containing the bullae was thickened, infarcted, congestive, hemorrhagic, and brittle with narrowing of the intestinal lumen. The bullae are tense and leave serosities. On histological examination, the intestinal wall was very congestive with hemorrhagic patches of suffusion. There were optically empty cystic formations that does not communicate with the digestive lumen. The adjacent mucosa is the site of a moderate subacute inflammatory reaction.
Conclusion: Pneumatosis cystoides intestinalis is a rare and usually benign pathology. The symptoms, when they exist, are not specific. Its physiopathology is still very much debated. The prognosis is generally good. The knowledge of this pathology is necessary to avoid invasive explorations and heavy treatment without interest for the patient.
Keywords: Cysts, Gas, Intestinal, Pathology
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Author Contributions
Franck Auguste Hermann Adémayali Ido - Conception of the work, Design of the work, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Aimé Sosthène Ouedraogo - Conception of the work, Design of the work, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Ibrahim Savadogo - Conception of the work, Design of the work, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Rakiswendé Alexis Ouedraogo - Conception of the work, Design of the work, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Souleymane Ouattara - Conception of the work, Design of the work, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2023 Franck Auguste Hermann Adémayali Ido. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
