PNEUMATOSIS CYSTOIDES INTESTINALIS ASSOCIATED WITH ASCITES AND PYLORIC STENOSIS SECONDARY TO A CHRONIC DUODENAL ULCER: CASE REPORT

Abstract

A thirty eight year old female with a long standing history of a chronic duodenal ulcer
presented at the Nyeri Provincial General Hospital with vomiting, abdominal pain and
abdominal distension. Oesophago-gastro-duodenoscopy revealed a tight pyloric stenosis
while abdominal ultrasonography showed ascites. At laparatomy, she was coincidentally
found to have pneumatosis cystoides intestinalis(PCI). The recent literature is reviewed
and this case of PCI associated with ascites and pyloric stenosis secondary to a chronic
duodenal ulcer is reported.