Successful non-operative management of pneumatosis intestinalis in a patient with Crohn’s disease

Abstract

Pneumatosis intestinalis (PI) is a rare but significant condition characterized by the presence of gas within the wall of the intestines. This case report describes a 44-year-old man with a history of Crohn's disease and chronic steroid use who presented with abdominal pain and high ileostomy output, subsequently diagnosed with extensive small bowel pneumatosis. The patient was managed conservatively with bowel rest, antibiotics, and suspension of immunosuppressive therapy, resulting in full resolution of PI. This report also reviews the existing literature on PI in Crohn's disease patients, highlighting risk factors, incidence, and management strategies.