Recurrent intussusception associated with pneumatosis cystoides coli: A pediatric case report

Pneumatosis cystoides coli (PCC) describes gas-filled cysts within the wall of the gastrointestinal tract and is uncommon in children. We report a 7-year-old female with a history of recurrent ileocolic intussusception secondary to PCC. Her initial episodes of intussusception resolved spontaneously or with air enema, but no lead point was identified. On her third presentation to the emergency department with a similar complaint, computed tomography of the abdomen and pelvis revealed extensive colonic mural air-filled cystic lesions which had been present during prior episodes of intussusception. The patient was treated with metronidazole, a sorbitol-free diet, and continuous low-flow oxygen. Despite these treatments, PCC persisted on imaging. Hyperbaric oxygen treatment was initiated, leading to complete resolution of PCC without any further episodes.