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Case Reports in Surgery
Volume 2014, Article ID 709874, 3 pages
http://dx.doi.org/10.1155/2014/709874
Case Report

Laparoscopic Incidental Finding of Pneumatosis Intestinalis in Acute Appendicitis

1Sligo General Hospital, Sligo, Ireland
2Maidstone Hospital NHS Trust, Kent, UK
3Letterkenny General Hospital, Donegal, Ireland

Received 22 April 2014; Revised 5 August 2014; Accepted 6 August 2014; Published 21 August 2014

Academic Editor: Akihiro Cho

Copyright © 2014 N. Mayooran 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.

Abstract

Pneumatosis intestinalis (PI) is a rare condition where the gas trapped inside the bowel wall. It is commonly found as an incidental finding on routine abdominal imaging or scans. We present a case of incidental laparoscopic finding of pneumatosis intestinalis on a 32-year-old male, who underwent a laparoscopic appendectomy for an acute appendicitis. Laparoscopic appendectomy was performed and pneumatosis intestinalis managed conservatively. Patient did well and was discharged home. Management of PI depends on clinical presentation; asymptomatic PI can be managed adequately by treating underlying causes. We report a case of incidental laparoscopic finding of Pneumatosis intestinalis, which was adequately managed by treating underlying appendicitis.