Intestinal Cystic Pneumatosis Secondary to Antro-Pyloric Stenosis Discovered during a Suspicion of Peritonitis by Ulcerative Perforation: A Case Report

Cystic intestinal pneumatosis is the presence of gas bubbles in the wall and the serosa of the digestive tract. It is a benign and rare pathology, of radiological diagnosis by abdominal CT given its great sensitivity and of favourable evolution by the spontaneous disappearance of the cysts and whose treatment would rather be abstention. We report the case of a 54-year-old man, a chronic smoker treated in 2019 for helicobacter pylori gastritis. He was hospitalized for vomiting associated with generalized abdominal pain with epigastric origin. the patient underwent an abdominal CT scan which found pneumo peritoneum, fairly abundant fluid intraperitoneal effusion and a stasis stomach. The patient was operated on and exploration revealed moderately abundant ascites, stasis of the stomach upstream of an intro-pyloric subtending stricture and intestinal cystic pneumatosis at the level of the last ileal loops. A gastro-jejunal diversion on a loop mounted in omega trans and under mesocolic with hail and hail anastomosis at the foot of the year was performed. The postoperative follow-up was simple.