November 1972

Pneumatosis Cystoides Intestinalis of Adulthood

Author Affiliations

Petah Tiqva and Tel Aviv, Israel
From the departments of surgery "A" (Drs. Wolloch and Dintsman) and radiology (Dr. Weiss), Beilinson Hospital, Petah Tiqva, and Tel Aviv University Medical School, Israel.

Arch Surg. 1972;105(5):723-726. doi:10.1001/archsurg.1972.04180110046012

Three patients had pneumatosis intestinalis. The first suffered from recurrent intestinal obstruction; pneumatosis intestinalis developed with the deterioration of his condition. The second patient was admitted for abdominal pain; pneumoperitoneum was an incidental finding on routine x-ray films of the abdomen, and a diagnosis of pneumatosis intestinalis was made by excluding the possibility of the other disorders that cause pneumoperitoneum. In the third case the disease was diagnosed at autopsy.

A mechanical factor alone does not seem sufficient to produce intestinal cysts and an additional factor, a mucosal permeability change, is apparently needed to cause appearance of the disease.