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Case Reports in Surgery
Volume 2014, Article ID 350312, 4 pages
Case Report

Primary Pneumatosis Intestinalis of Small Bowel: A Case of a Rare Disease

1Depatment of Radiology, Second University of Naples, Miraglia 2, 80138 Napoli, Italy
2Depatment of Radiology, Ospedale Landofi ASL, Solofra Indirizzo, Via Melito, 83029 Solofra, Italy
3Depatment of Radiology, Azienda ospedaliera “V. MONALDI,” Via Leonardo Bianchi, 80131 Napoli, Italy
4Depatment of Radiology, Ospedale Criscuoli. Via Quadrivio, Sant’Angelo dei Lombardi, 83054 Avellino, Italy

Received 13 August 2014; Accepted 25 October 2014; Published 17 November 2014

Academic Editor: Carmela De Crea

Copyright © 2014 Daniela Berritto et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Pneumatosis intestinalis (PI) is a condition in which multiple gas-filled cysts are located in the bowel wall; it can represent a wide spectrum of diseases and a variety of underlying diagnoses. The present report describes the case of an 86-year-old man with symptomatic primary PI of small bowel treated with surgical approach after periodic episodes of cysts rupture and superimposed inflammation revealed on the basis of a clinical suspicion thanks to abdominal computed tomography. Moreover, after one year of followup, there has been no recurrence of digestive symptoms.