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Recurrent intussusception associated with pneumatosis cystoides coli: A pediatric case report

Year: 2025

Type: article

Abstract: Pneumatosis cystoides coli (PCC) describes gas-filled cysts within the wall of the gastrointestinal tract and is uncommon in children. We report a 7-year-old female with a history of recurrent ileocolic intussusception secondary to PCC. Her initial episodes of intussusception resolved spontaneously or with air enema, but no lead point was identified. On her third presentation to the emergency department with a similar complaint, computed tomography of the abdomen and pelvis revealed extensive colonic mural air-filled cystic lesions which had been present during prior episodes of intussusception. The patient was treated with metronidazole, a sorbitol-free diet, and continuous low-flow oxygen. Despite these treatments, PCC persisted on imaging. Hyperbaric oxygen treatment was initiated, leading to complete resolution of PCC without any further episodes.

Source: JPGN Reports

DOI: 10.1002/jpr3.70109

Authors: Sarah Barrett, Tanyaporn Kaenkumchorn, Pooja Thakrar, Rosellen Choi, Rose Lee

Institution: Medical College of Wisconsin

Language: English

Topic: Gastrointestinal disorders and treatments

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $1,900