The patient who came with acute abdominal condition in the casualty of Katihar Medical College were treated and followed up with the diagnosis of Pneumatosis intestinalis. The data of 6 patients who came in the emergency with abdominal pain complaint between July 2016 and January 2019, followed up and treated with the diagnosis of pneumatosis intestinalis were retrospectively evaluated. Four of the patients were male and two of them were female. The mean age of the patients was 61.66 (52-75y). When detailed medical histories were examined, we found that 3 patients had chronic smoking, 3 patients had the chronic obstructive pulmonary disease, none of them had a history of surgery and known gastrointestinal system diseases. Mean HB value was 11.25 g/dl (9.2-12.6 g/dl), white blood cell count was 8716.6/mm3 (6200- 13000/mm3). Despite the absence of acute abdominal pain, 4 out of 6 patients who were admitted to emergency surgery due to the presence of free air in direct graphics and continuous abdominal pain suggestive of perforation, then segmental small intestine resection and end-to-end anastomosis were performed by open surgery, and 2 patients were followed non-operatively after regulating the medical treatment in the hospital. Pneumatosis intestinalis is a clinical symptom. Early diagnosis can be difficult because many systems can be associated with the disease. However, careful evaluation of clinical findings, radiological data, secondary diseases and laboratory data will help the clinician determine the correct diagnosis and appropriate treatment method.

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Dr Md. Abdur Rahman

PGT, Department of General Surgery, KMC, Katihar