Pneumatosis Intestinalis with Thyroid Hormone Abnormality: An Interesting Case

Pneumatosis Intestinalis is characterized by the presence of gas in the intestinal wall; Although its clinical findings and etiology are not clear, it is an entity that can be associated with trauma, inflammation, malignancy, autoimmune or endocrine events. Delay in diagnosis is associated with high morbidity and mortality. Therefore, in cases where pneumatosis in the bowel wall is detected radiologically, aggressive laparotomy is recommended in the presence of a negative prognostic disease. Then, the current approach recommended in the guidelines is second-look laparotomies, in which bowel viability will be re-evaluated before a definitive resection decision is made. In this case report, a complicated patient with a complex history and a newly developed thyroid abnormality, in whom no ischemia was detected in the first surgery performed due to pneumatosis intestinalis, but intestinal ischemia was observed in second-look laparotomy, is presented.