Differential management of Pneumatosis Intestinalis (PI)

Abstract Pneumatosis intestinalis (PI) is a rare but potentially serious gastrointestinal condition with diverse clinical presentations. PI is identified by the presence of gas in the extraluminal intestinal wall and is further subclassified into benign pneumatosis intestinalis (BPI) and life-threatening pneumatosis intestinalis (LTPI). Prompt and accurate diagnosis, often aided by imaging studies, is crucial to guide appropriate management. Treatment strategies vary depending on the severity of symptoms and underlying etiologies. Collaboration between gastroenterology, radiology, and general surgery is essential to optimize patient outcomes in cases of PI. Herein, we present a case of Pneumatosis Intestinalis complicated with intestinal perforation that was managed surgically.