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Pneumatosis intestinalis presenting as a partial small bowel obstruction
  1. William Dominic Marley,
  2. Benjamin Dodd,
  3. Gary Spence
  1. Department of General Surgery, Ulster Hospital, Belfast, UK
  1. Correspondence to William Dominic Marley, wmarley01{at}

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An 88-year-old man presented to casualty with severe abdominal pain and vomiting. Chest x-ray was suspicious for free intraperitoneal air. Abdominal x-ray was in keeping with small bowel obstruction. CT also suggested free intraperitoneal gas and the patient proceeded to laparotomy (figure 1).

Figure 1

Transverse plane CT scan of the abdomen showing bubbles of air within the bowel wall.

Intraoperatively, …

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