Neumatosis quística intestinal: una causa rara y benigna de dolor y distensión abdominal crónicos con neumoperitoneo

Abstract

A previously healthy 65-year-old woman presented with symptoms of colicky abdominal pain and intense bloating, nausea and vomiting, and 8 kg weight loss within the past 12 months. Her vital signs were stable, and she had no signs of peritoneal irritation. Abdominal angiotomography identified diffuse pneumatosis intestinalis with a predominantly cystic pattern, as well as abundant intraperitoneal free air, free fluid in the pelvic cavity, and no alterations in the mesenteric vasculature (figs. 1-3). Her laboratory test results ruled out gastrointestinal, infectious, oncologic, rheumatologic, pulmonary, and pharmacologic causes that would explain the tomographic findings. The patient received treatment