Abstract

We experienced a case of pneumatosis cystoides coli in a 51-year-old female complaining of repeated abdominal pain, who had no particular disease and family histories. Barium enema examination revealed many smooth-surfaced polypoid lesions at splenic flexure area of the left colon. Abdominal CT and endoscopic examination of the colon showed multiple polypoid lesions. The patient was diagnosed as pneumatosis cystoides intestinalis (PCI) and was successfully treated with hyperbaric (2.5 ATA, 60 min. per day) oxygenation (OHP) therapy for 8 days. The lesions completely disappeared, and no recurrence has been found for 4 years thereafter. PCI is a relatively rare disease and a variety of the therapies has been reported. Hyperbaric oxygenation therapy used in this case is excellent in that it can offer a reliable therapeutic effect with shorter period.

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