Pneumatosis cystoides intestinalis with colonic perforation: A case report and literature review

PCI combined with colonic perforation should be regarded as a routine differential diagnosis for urgent abdominal pain. Although conservative treatment is the preferred option in most cases, timely surgical intervention should be considered in the presence of complications, hemodynamic instability, signs of peritonitis, and significant abnormal laboratory and imaging findings. Based on the current evidence, partial colectomy with colostomy is recommended for patients undergoing PCI combined with colonic perforation.