Pneumatosis intestinalis (PI) is a very rare intestinal disease, characterized by presence of multilocular cysts in the intestinal wall. Complications occur due to PI in about 3% of cases⁽¹⁾ and include intussusception, intestinal obstruction, volvulus and intestinal perforation. We report a 39 years old female patient who presented in our hospital with acute abdominal pain in the epigastric region with vomiting and loose stools mixed with blood since 2 days. USG & CECT abdomen revealed colo-colic intussusception of transverse colon. Right hemicolectomy with ileo-transverse anastomosis was performed. The immediate post-operative was uneventful and patient discharged on 12^th post-operative day. Histopathology report of resected segment of colon was PI.

Keywords: Intussusception; Ileo-transverse anastomosis; Pneumatosis intestinalis (PI)

1. Heng. M.D Schuffler, R.C.Haggitt, et al. Pneumatosis intestinalis : a review Am J Gastroenterol, 1995;90:1747-1758.
2. Voboril R: Pneumatosis cystoides intestinalis – a review. Acta Medica (Hradee kralove).2001;44:89-92.
3. Theisen J, Juhnke P, Stein H J, et al : Pneumatosis cystoides intestinalis coli. Surg endosc.2003;17;157-158.
4. Braumann, C. Menenakos, C. A. Jacobi Pneumatosis intestinalis- a pitfall for surgeons ? Scand J Surg,2005;94(1):47-50.
5. Read NW,Al-Janabi MN, Cann PA. Is raised breath hydrogen related to the pathogenesis of Pneumatosis coli? Gut.1984;25:839-845.
6. Kim KM, Lee CH, Kim KA, Park CM. CT Colonography of pnematosis cystoides intestinalis. Abdom Imaging.2007;32:602-605.
7. Wandtke J, Skucas J, Spataro R, Brueau RJ. Pneumatosis intestinalis as a complication of Jejunoileal bypass. AJR Am J Roentgenol,1977;129:601-604.
8. Gagliardi G, Thompson IW, Hershman MJ, Forbes A, Hawley PR, Talbot IC. Pneumatosis coli: a proposed pathogenesis based on study of 25 cases and review of the literature. Int J Colorectal Dis.1996;11:111-118.
9. Sequeira W. Pneumatosis cystoides intestin-alis in systemic sclerosis and other disease. Semin Arthritis Rheum.1990;19: 269-277.
10. Dunlan B, Barton LL, Eicher ML, Chmielar czykvt, Erdman SH, Hulett RL. Medication- induced pneumatosis intestinalis. Pediatrics.1997,99:633-636.
11. Zimmerman AL, Gupta JK, Ingegno AP. Pneumatosis coli following treatment with lactulose. N Y State J Med.1979;79:1896-99.
12. Peter, Abbas MA, Kelly KA. The spectrum of Pneumatosis intestinalis. Arch surg.2003;138:68-75.
13. Galand`iuk S, Fazio VW. Pneumatosis Cystoides intestinalis. A review of the literature. Dis colon Rectum.1986;29:358-363.
14. Ho LM, Paulson EK, Thompson WM, Pneumatosis intestinalis in the adult : benign to life-threatening causes. AJR Am Roentgenol.2007;188:1604-1613.
15. Knechtle SJ, Davidoff AM, Rice RP. Pneumatosis intestinalis. Surgical management and clinical outcome. Ann Surg.1990;212:160-165.

Dr Arvind Kumar Prabhat

Postgraduate Student, Department of General Surgery,

DVVPF’S Medical College and Hospital, Ahmednagar, Maharashtra, India