Work

Incidental pneumatosis intestinalis in a patient with chronic kidney disease: a case report

Year: 2025

Type: article

Abstract: Pneumatosis intestinalis (PI) is a clinical condition characterized by the presence of gas within the bowel wall and is considered a rare medical finding. While PI may be harmless in some cases, it can also signal more severe gastrointestinal pathology, including ischemia, bowel obstruction, or perforation. We present the case of an 87 year old male with end-stage kidney disease undergoing hemodialysis (HD), in whom PI was incidentally discovered during a follow up computed tomography (CT) performed for a renal mass. The patient was asymptomatic, and the CT findings showed no signs of ischemia, bowel obstruction or perforation. This case underscores the importance of correlating clinical and imaging data to avoid unnecessary surgery interventions. Additionally, it provides a comprehensive review of the pathogenesis, causes, diagnosis and management of PI. Further research is warranted to investigate the potential link between chronic kidney disease, HD, and the development of PI.

Source: Journal of Surgical Case Reports

DOI: 10.1093/jscr/rjaf168

Authors: Lina Berrada Dirhoussi, Florence Latinis

Institution: Centre Hospitalier Universitaire Vaudois

Language: English

Topic: Abdominal vascular conditions and treatments

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,000