PMC6731346_01
Portal enhanced CT-scan of the abdomen and pelvis: Coronal and axial views in lung window setting (a, b) and axial view in soft tissus window setting (c) showing gas in multiple small cysts within the wall of the terminal ileum. Presence of pneumoperitoneum under the left hemi diaphragm and within the mesenter (arrowheads).
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Thus, an abdominopelvic CT-scan was performed revealing multiple small gas-filled cysts within the wall of the terminal ileum, the presence of pneumoperitoneum and a small amount of hypodense fluid in the Douglas pouch (Fig. 1).
Picture of the operative field demonstrating pneumatosis cystoides intestinalis within the terminal ileum.
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Per operative findings revealed multiple small cysts of the terminal ileum and there were no bowel perforation (Fig. 2).