Abstract
Cystic intestinal pneumatosis is the presence of gas bubbles in the wall and serosa of the digestive tract. It is asymptomatic or minimally symptomatic, and is most often discovered during an imaging or endoscopic examination. We bring the case of a 50 years old man, chronic smoker not weaned, never operated, admitted to the emergency room for management of an acute abdomen associated with vomiting. The clinical examination on admission objective of a generalized abdominal contracture. An unprepared abdominal film showed a pneumoperitoneum. An abdominal CT scan was performed showing a diffuse pneumoperitoneum the patient underwent surgery and exploration found a stasis stomach associated with diffuse small bowel pneumatosis without gastric or small bowel perforation.
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