PMC4275820_01
X-ray free air under the diaphragm.
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X-ray showed free-air under the diaphragm (Fig. 1).
Abdominal CT showed intraperitoneal free air.
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Contrast-enhanced abdominal CT was detected free-air in the abdomen (Fig. 2).
Stenotic pylorus and dilated stomach.
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After opening the abdominal cavity and exploration, the following finding was present: stenotic pylorus with an abnormally increased stomach and gas-filled cysts were seen in the terminal ileum (Figs. 3-5). At second, operative material of stomach with increased dimensions, decreased elasticity, tall and prominent mucosal folds without macroscopic erosions and ulcerations, astenotic place on the pylorus with the lumen passable for 0.6 cm (Fig. 3).
Gas-filled cysts in the terminal ileum.
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After opening the abdominal cavity and exploration, the following finding was present: stenotic pylorus with an abnormally increased stomach and gas-filled cysts were seen in the terminal ileum (Figs. 3-5). Additionally, the cysts were not communicated with each other and in different sizes which means that the finding at the terminal ileum was pneumatosis cystoides intestinalis (Figs. 4-6).
Gas-filled cysts at mucosa in the terminal ileum.
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After opening the abdominal cavity and exploration, the following finding was present: stenotic pylorus with an abnormally increased stomach and gas-filled cysts were seen in the terminal ileum (Figs. 3-5). Additionally, the cysts were not communicated with each other and in different sizes which means that the finding at the terminal ileum was pneumatosis cystoides intestinalis (Figs. 4-6).
Histopathological appearances of gas-filled cyst. A) The Low-cubic cystic epithelium in serosa of ileum (white arrow, H&E x100). (B) Gas-filled cysts in serosa cecum.
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Additionally, the cysts were not communicated with each other and in different sizes which means that the finding at the terminal ileum was pneumatosis cystoides intestinalis (Figs. 4-6).
PMC4275820_02
PMC4275820_03