title: Dysplasia in perforated intestinal pneumatosis complicating a previous jejuno-ileal bypass: a cautionary note.
abstract: We present the case of an elderly woman who developed a bowel perforation related to pneumatosis intestinalis, 33 years after a jejuno-ileal bypass for severe obesity. Final histological examination revealed the presence of dysplasia in the resected specimen. On the basis of our case and a review of the literature, we discuss the etiopathogenesis, the clinical aspects and the treatment of this rare condition.
authors.affiliation: Department of Medical and Surgical Sciences, Surgical Clinic, Brescia University, Via Cicognini, 6, 25127 Brescia, Italy.
authors.forename: Nazario
authors.initials: N
authors.lastname: Portolani
authors.forename: Gian Luca
authors.initials: GL
authors.lastname: Baiocchi
authors.forename: Stefano
authors.initials: S
authors.lastname: Gadaldi
authors.forename: Simona
authors.initials: S
authors.lastname: Fisogni
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Villanacci
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology / Q000473:pathology*; D007581:Jejunoileal Bypass / Q000009:adverse effects*; D011006:Pneumatosis Cystoides Intestinalis / Q000209:etiology / Q000473:pathology*; D011027:Pneumoperitoneum / Q000209:etiology; D011183:Postoperative Complications / Q000473:pathology*