2008 Volume 28 Issue 7 Pages 953-955
A 90-year-old man visited a local clinic with chief complaints of abdominal pain and bloating. Abdominal CT showed intraperitoneal free gas mainly in the upper abdominal cavity, a whirling of the rotated mesentery, small intestinal intramural gas, and intramesenteric gas. These findings led to the diagnosis of digestive tract perforation and pneumatosis cytoides intestinalis (PCI) due to a strangulated ileus, for which surgery was performed. A twisted small intestinal loop had impacted into the aperture formed by a band ; however, since no circulatory disturbance of the small intestine was observed, the band was resected, and the small intestine was reduced. Since our search of the literature failed to identify any previous reports of PCI intestinalis resulting from internal hernia, we report this rare case with a review of the literature.
