A rare case of pneumobilia following blunt abdominal trauma in a patient with pneumatosis cystoides intestinalis
Pneumatosis cystoides intestinalis (PCI) is a rare condition characterized by gas-filled cysts within the gastrointestinal wall, often discovered incidentally or presenting with abdominal pain and pneumoperitoneum. Pneumobilia following blunt trauma is an even rarer finding, typically associated wit...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-08-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043325003334 |
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| author | Leila Haddar Karim Haddar Asmae Kasimi Rabilou Saley Leknani Mohammed Hamid Ziani Siham Nasri Imane Kamaoui Imane Skiker |
| author_facet | Leila Haddar Karim Haddar Asmae Kasimi Rabilou Saley Leknani Mohammed Hamid Ziani Siham Nasri Imane Kamaoui Imane Skiker |
| author_sort | Leila Haddar |
| collection | DOAJ |
| description | Pneumatosis cystoides intestinalis (PCI) is a rare condition characterized by gas-filled cysts within the gastrointestinal wall, often discovered incidentally or presenting with abdominal pain and pneumoperitoneum. Pneumobilia following blunt trauma is an even rarer finding, typically associated with increased intra-abdominal pressure. We report the case of a 46-year-old male with no significant medical history who sustained a 5-meter fall. The CT scan revealed pneumobilia, pneumoperitoneum, and areas of pneumatosis intestinalis in the small intestine, suggesting PCI with cyst rupture and retrograde air passage into the biliary ducts. The patient was managed conservatively with close monitoring, and symptoms resolved completely within 5 days. This case highlights the importance of distinguishing PCI from life-threatening conditions such as bowel ischemia to avoid unnecessary surgical interventions, emphasizing the role of imaging in guiding appropriate management. |
| format | Article |
| id | doaj-art-9341283ac6d6426fa769411b2c323bb7 |
| institution | OA Journals |
| issn | 1930-0433 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj-art-9341283ac6d6426fa769411b2c323bb72025-08-20T02:05:09ZengElsevierRadiology Case Reports1930-04332025-08-012083680368310.1016/j.radcr.2025.04.035A rare case of pneumobilia following blunt abdominal trauma in a patient with pneumatosis cystoides intestinalisLeila Haddar0Karim Haddar1Asmae Kasimi2Rabilou Saley3Leknani Mohammed4Hamid Ziani5Siham Nasri6Imane Kamaoui7Imane Skiker8Corresponding author.; Department of Radiology, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, University Mohammed First, Oujda, MoroccoDepartment of Radiology, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, University Mohammed First, Oujda, MoroccoDepartment of Radiology, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, University Mohammed First, Oujda, MoroccoDepartment of Radiology, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, University Mohammed First, Oujda, MoroccoDepartment of Radiology, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, University Mohammed First, Oujda, MoroccoDepartment of Radiology, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, University Mohammed First, Oujda, MoroccoDepartment of Radiology, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, University Mohammed First, Oujda, MoroccoDepartment of Radiology, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, University Mohammed First, Oujda, MoroccoDepartment of Radiology, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, University Mohammed First, Oujda, MoroccoPneumatosis cystoides intestinalis (PCI) is a rare condition characterized by gas-filled cysts within the gastrointestinal wall, often discovered incidentally or presenting with abdominal pain and pneumoperitoneum. Pneumobilia following blunt trauma is an even rarer finding, typically associated with increased intra-abdominal pressure. We report the case of a 46-year-old male with no significant medical history who sustained a 5-meter fall. The CT scan revealed pneumobilia, pneumoperitoneum, and areas of pneumatosis intestinalis in the small intestine, suggesting PCI with cyst rupture and retrograde air passage into the biliary ducts. The patient was managed conservatively with close monitoring, and symptoms resolved completely within 5 days. This case highlights the importance of distinguishing PCI from life-threatening conditions such as bowel ischemia to avoid unnecessary surgical interventions, emphasizing the role of imaging in guiding appropriate management.http://www.sciencedirect.com/science/article/pii/S1930043325003334PneumobiliaPneumatosis cystoides intestinalisPCITraumaPneumoritoneumCase report |
| spellingShingle | Leila Haddar Karim Haddar Asmae Kasimi Rabilou Saley Leknani Mohammed Hamid Ziani Siham Nasri Imane Kamaoui Imane Skiker A rare case of pneumobilia following blunt abdominal trauma in a patient with pneumatosis cystoides intestinalis Radiology Case Reports Pneumobilia Pneumatosis cystoides intestinalis PCI Trauma Pneumoritoneum Case report |
| title | A rare case of pneumobilia following blunt abdominal trauma in a patient with pneumatosis cystoides intestinalis |
| title_full | A rare case of pneumobilia following blunt abdominal trauma in a patient with pneumatosis cystoides intestinalis |
| title_fullStr | A rare case of pneumobilia following blunt abdominal trauma in a patient with pneumatosis cystoides intestinalis |
| title_full_unstemmed | A rare case of pneumobilia following blunt abdominal trauma in a patient with pneumatosis cystoides intestinalis |
| title_short | A rare case of pneumobilia following blunt abdominal trauma in a patient with pneumatosis cystoides intestinalis |
| title_sort | rare case of pneumobilia following blunt abdominal trauma in a patient with pneumatosis cystoides intestinalis |
| topic | Pneumobilia Pneumatosis cystoides intestinalis PCI Trauma Pneumoritoneum Case report |
| url | http://www.sciencedirect.com/science/article/pii/S1930043325003334 |
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