Pneumatosis intestinalis: An important radiological clue in a case of missed perforated appendicitis Muhammad Nawawi KN, Abd Samat AH, Nik Fuad NF, Yi LL, - J Indian Prosthodont Soc

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Pneumatosis intestinalis: An important radiological clue in a case of missed perforated appendicitis Khairul Najmi Muhammad Nawawi¹, Azlan Helmy Abd Samat², Nik Farhan Nik Fuad³, Lim Li Yi⁴ ¹ Department of Medicine, Gastroenterology Unit, The National University of Malaysia Medical Centre, Cheras, Kuala Lumpur, Malaysia ² Department of Emergency, Faculty of Medicine, The National University of Malaysia Medical Centre, Cheras, Kuala Lumpur, Malaysia ³ Department of Radiology, Faculty of Medicine, The National University of Malaysia Medical Centre, Cheras, Kuala Lumpur, Malaysia ⁴ Department of Surgery, Faculty of Medicine, The National University of Malaysia Medical Centre, Cheras, Kuala Lumpur, Malaysia Correspondence Address: Khairul Najmi Muhammad Nawawi, Gastroenterology Unit, Department of Medicine, Faculty of Medicine, The National University of Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, Cheras 56000, Kuala Lumpur Malaysia Source of Support: None, Conflict of Interest: None DOI: 10.4103/2452-2473.278560

Pneumatosis intestinalis (PI) is a rare radiological finding, characterized by the presence of gas in the bowel wall. It has a wide spectrum of possible underlying diagnosis ranging from benign to life-threatening conditions. We present a case of a previously healthy male who was initially presented with missed diagnosis of acute appendicitis which had led to perforated appendix. Failure to recognize the significance of PI and its correlation with other clinical information had caused the delay in his surgical intervention. Fortunately, the patient made a steady recovery and was discharged well. It is important to have a high clinical suspicion of life-threatening conditions whenever patients presented with a radiological clue of PI. Failure to incorporate this finding with other clinical clues might lead to devastating consequences and delay the necessary treatment.

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