Pneumatosis cystoides coli associated with high H2 excretion. Treatment with an elemental diet

Scand J Gastroenterol. 1979;14(2):173-4. doi: 10.3109/00365527909179864.


A patient with severe diarrhoea and gas-filled cysts in the wall of the colon is reported. The patient had normal lung function but an extremely high end-expiratory H2 fasting value. Treatment with an elemental diet for 2 weeks resulted in a decreased H2 value and in regression of the cysts. After 4 months on a normal diet extensive recurrence was observed. We conclude that excessive intestinal gas production may play a role in the pathogenesis of the cysts.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Colonic Diseases / diet therapy*
  • Fasting
  • Gases*
  • Humans
  • Hydrogen* / analysis
  • Intestines
  • Male
  • Pneumatosis Cystoides Intestinalis / diet therapy*
  • Pneumatosis Cystoides Intestinalis / etiology
  • Recurrence
  • Respiration


  • Gases
  • Hydrogen