Abstract: This article reports a case of a 22-year-old female patient with intestinal pneumatosis cystoides who was admitted to the hospital due to recurrent abdominal distension. Abdominal CT showed multiple string-like and cluster-like gas density shadows within the intestinal wall. Under laparoscopic exploration, multiple grape-like emphysemas were observed, and multiple string-like gas cysts were visible to the naked eye. The diagnosis was confirmed based on the pathological results. The patient underwent surgical treatment, and the process was smooth. After 9 months of follow-up, the re-examination showed good recovery without any obvious abnormalities.

Key words: intestinal gas cyst, differential diagnosis, prognosis