PMC2989377_01
Abdominal computed tomography (CT) revealing submucosal air-fluid cysts. Arrows demarcate submucosal gas within the wall of the left colon, pneumatosis coli.
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fig1
Subsequent abdominal computerized tomography (CT) demonstrated extensive pneumatosis coli (Figure 1) involving the descending colon; there was also thumb printing and dilated loops of bowel.
Pseudomembranes and pneumatosis coli. Endoscopic evaluation of the colonic mucosa reveals pseudomembranes. Cystic lesions are evident beneath the pseudomembranous layer.
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fig2
Flexible sigmoidoscopy clinically confirmed the diagnosis, showing quite classical pseudomembranes in addition to features consistent with pneumatosis intestinalis (Figure 2).