Pneumatosis coli

Case contributed by Mohammad Taghi Niknejad
Diagnosis certain

Presentation

Workup for abdominal pain.

Patient Data

Age: 55 years
Gender: Female
ct

Numerous intra-mural gas bubbles are seen in the wall of transvers and splenic flexure colon. No intraperitoneal gas is noted.
An 8mm cyst is noted at segment II of the liver.

Case Discussion

Intramural gas limited to the colonic wall in this case compatible with pneumatosis coli which is a rare, idiopathic and usually benign condition especially if the gas adopts bubbles rather than lines.

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