Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2009 Feb 14;15(6):758-60.
doi: 10.3748/wjg.15.758.

Gastric pneumatosis intestinalis associated with malignancy: an unusual case report

Ahmet Bilici  1 , Berrin Karadag, Alper Doventas, Mesut Seker
Affiliations
Case Reports

Gastric pneumatosis intestinalis associated with malignancy: an unusual case report

Ahmet Bilici et al. World J Gastroenterol. .

Abstract

Pneumatosis intestinalis (PI) is an uncommon disease defined as gas-filled cysts that are found in the wall of the gastrointestinal (GI) tract. The exact causes of PI are still unclear, but it may associated with coexisting diseases, such as some GI disorders, connective tissue disease, some medication and drugs, and rarely malignancy. The most common localization is the small intestine. Gastric PI secondary to malignancy has been rarely documented. We report on a 94-year-old man with gastric PI associated with inoperable adenocarcinoma localized in the duodenum. Following the gastrojejunostomy and choledochojejunostomy bypass, his general condition improved and PI disappeared, but he died due to poor performance status and malignancy 6 mo later. We suggest that in patients presenting with PI, malignancy should be considered in the differential diagnosis.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Abdomino-pelvic CT scan showing big stomach and multilocular gas within the wall of the stomach (arrows).
Figure 2
Figure 2
Barium-enema study showing luminal obstruction of 80% in the bulber apex.
See this image and copyright information in PMC

References

    1. Jamart J. Pneumatosis cystoides intestinalis. A statistical study of 919 cases. Acta Hepatogastroenterol (Stuttg) 1979;26:419–422. - PubMed
    1. Heng Y, Schuffler MD, Haggitt RC, Rohrmann CA. Pneumatosis intestinalis: a review. Am J Gastroenterol. 1995;90:1747–1758. - PubMed
    1. 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. - PubMed
    1. Boerner RM, Fried DB, Warshauer DM, Isaacs K. Pneumatosis intestinalis. Two case reports and a retrospective review of the literature from 1985 to 1995. Dig Dis Sci. 1996;41:2272–2285. - PubMed
    1. Rennenberg RJ, Koek GH, Van Hootegem P, Stockbrugger RW. Pneumatosis cystoides intestinalis, four cases of a rare disease. Neth J Med. 2002;60:22–25. - PubMed

Publication types

MeSH terms