title: A rare case of segmental small bowel pneumatosis intestinalis: A case report.
abstract: BACKGROUND
  Pneumatosis intestinalis is a rare condition affecting 0.03% of the population. It has a myriad of aetiological causes and hence presentation can vary immensely. The management of symptomatic pneumatosis intestinalis in an acute and outpatient setting remains a challenge to both physicians and surgeons.
  
  
  METHODS
  We present a case of a 79 year old who presented in a gastroenterology outpatients department with a history suggestive of intermittent small bowel obstruction associated with abdominal pain aggravated by eating and posture. He was found to have signs suggestive of Marfan's syndrome. Computed tomography demonstrated extensive pneumatosis intestinalis of the small bowel. Due to deterioration in symptoms, an exploratory laparotomy was performed demonstrating segmental small bowel pneumatosis intestinalis secondary to a hypermobile mesentery.
  
  
  CONCLUSIONS
  This case highlights the importance of both surgical and gastroenterology expertise in successfully managing symptomatic pneumatosis intestinalis.
authors.affiliation: Department of General Surgery, Watford General Hospital, Vicarage Road, Watford, UK.
authors.forename: A A P
authors.initials: AA
authors.lastname: Slesser
authors.forename: P H
authors.initials: PH
authors.lastname: Patel
authors.forename: S C
authors.initials: SC
authors.lastname: Das
authors.forename: A
authors.initials: A
authors.lastname: Leahy
authors.forename: J
authors.initials: J
authors.lastname: Livingstone
authors.forename: A A
authors.initials: AA
authors.lastname: Riaz
references.citation: Arch Surg. 2003 Jan;138(1):68-75
references.pmid: 12511155
references.citation: Ann Surg. 1990 Aug;212(2):160-5
references.pmid: 2375647
references.citation: Case Rep Med. 2011;2011:571387
references.pmid: 21331331
references.citation: J Radiol. 2008 Dec;89(12):1907-20
references.pmid: 19106848
references.citation: Am J Surg. 2008 May;195(5):679-82; discussion 682-3
references.pmid: 18424288
references.citation: Postgrad Med J. 1997 Sep;73(863):531-7
references.pmid: 9373590
references.citation: Gynecol Oncol. 2002 Jul;86(1):79-84
references.pmid: 12079304
references.citation: J Natl Med Assoc. 1983 Jun;75(6):626-9
references.pmid: 6876194
references.citation: Br J Hosp Med (Lond). 2008 May;69(5):270-4
references.pmid: 18557548
references.citation: J Gastrointest Surg. 2002 May-Jun;6(3):338-41
references.pmid: 12022984
references.citation: Am J Gastroenterol. 1995 Oct;90(10):1747-58
references.pmid: 7572888
references.citation: Scand J Surg. 2005;94(1):47-50
references.pmid: 15865117
references.citation: Hum Pathol. 1985 Jul;16(7):683-8
references.pmid: 4007844