[Pneumatosis cystoides intestinalis: a rare illness in adults]

Vetter, Ch; Bonél, H; Robert-Tissot, L; Bielecki, W J (2007). [Pneumatosis cystoides intestinalis: a rare illness in adults]. Praxis - schweizerische Rundschau für Medizin, 96(46), pp. 1815-20. Bern: Huber

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Pneumatosis cystoides intestinalis (PCI) is a rare illness in adults with gas filled blebs found in the submucosa or subserosa of the bowel wall. The main localization is the terminal ileum although all parts of the intestine can be affected. Clinical symptoms can vary from aqueous-slimy, bloody diarrhea to constipation and/or vague abdominal pain. Patients can also be completely asymptomatic. In symptomatic patients the therapy of PI is based on the assumed pathogenesis, so that a combined treatment of metronidazole 1500 mg daily during a period of 6-8 weeks additionally and oxygen application (PaO2 of 200-350 mmHg) for 7 days is suggested. In addition, elemental diets are recommended. Complications are indicated in the literature with 3%. In particular mechanical ileus, invagination and perforation as well as substantial intestinal bleeding up to the volvolus lead to further diagnostic and therapeutic steps. A surgical intervention is reserved for rare cases.

Item Type:

Journal Article (Further Contribution)


04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Institute of Diagnostic, Interventional and Paediatric Radiology

UniBE Contributor:

Bonel, Harald Marcel










Factscience Import

Date Deposited:

04 Oct 2013 14:54

Last Modified:

04 May 2014 23:15

PubMed ID:



https://boris.unibe.ch/id/eprint/23052 (FactScience: 38726)

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