Mesenteric Vein Thrombosis Complicating Pneumatosis Intestinalis, a Case Report

Introduction: Pneumatosis intestinalis is usually considered as a benign condition. Here we report the association of this condition with mesenteric vein thrombosis leading to bowel gangrene which to our best knowledge is the first reported association. Case Presentation: Our patient was a 71 year old Iranian male, smoker, who was followed with diagnosis of pneumatosis intestinalis for 11 months and then developed abdominal pain which was confirmed to be due to mesenteric vein thrombosis complicated by bowel gangrene. Discussion: Although pneumatosis intestinalis is not usually a threatening condition in adults, new onset of abdomen in these patients should prompt for complications such as mesenteric vein thrombosis.