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. Pneumatosis cystoides intestinalis of small bowel and cholecysto-duodenal fistula in stenosing peptic ulcer revealed by pneumoperitoneum

Pneumatosis of small bowel is a rare disease. Its association with a cholecysto-duodenal fistula is not often reported. This is the case of a 30-year-old man with a past medical history of duodenal ulcer, who presented in the emergency department for non-specific abdominal pain. Abdominal X-ray revealed a pneumoperitoneum. Computed tomography showed a pneumoperitoneum, presence of air in the biliary tract and gas in the small bowel wall. Gastro-intestinal opacification revealed a cholecysto-duodenal fistula in a stenosing duodenal ulcer associated with pneumatosis cystoides intestinalis. The patient went on to have a truncal vagotomy and gastrojejunal anastomosis. A cholecystectomy and a duodenal repair were also performed. Computed tomography and a gastrografin study are very important for the diagnosis of pneumatosis cystoides intestinalis with cholecysto-duodenal fistula in stenosing ulcer.

Auteur(s) : O. KA, M. DIENG, M. CISSE, B. DIOP, P. BA, A. DIA & C. TOURE
Pages : 1-8
Année de publication : 2010
Revue : The Internet Journal of Surgery
N° de volume : Volume 22 Number 1
Type : Article
Mise en ligne par : KA Ousmane