A Rare Case of Postoperative Pneumatosis Intestinalis Complicated by Sigmoid Colon Perforation Requiring Immediate Surgical Intervention

Pneumatosis intestinalis (PI) is a rare but potentially serious gastrointestinal condition with diverse clinical presentations. Pneumatosis intestinalis is identified by the presence of gas in the extraluminal intestinal wall and is further subclassified into benign pneumatosis intestinalis (BPI) and life-threatening pneumatosis intestinalis (LTPI). Prompt and accurate diagnosis, often aided by imaging studies, is crucial to guide appropriate management. Treatment strategies vary depending on the severity of symptoms and underlying etiologies. Collaboration between gastroenterology, radiology, and general surgery is essential to optimize patient outcomes in cases of PI. Herein, we present a case of PI complicated with intestinal perforation that was managed surgically.