Case Of Pneumatosis Cystoides Intestinalis Research Articles

Pneumatosis Cystoides Intestinalis

We herein present a case of pneumatosis cystoides intestinalis. A 56-year-old woman was admitted to Nagasaki Prefectural Shimabara Hospital with diffuse and mild abdominal pain. A plain abdominal X-ray revealed free air in the right subphrenic space, and computed tomography showed an extraluminal gas-filled lesion adjacent to the small intestine. With a tentative diagnosis of perforation of the small intestine, a laparotomy was performed, although she had little tenderness and no rigidity on physical examination. Upon opening the peritoneal cavity, multiple bullae-like cysts were noted on approximately one meter of the ileal serosa; however, no site of perforation was detected. Removal of the portion of what appeared to be the affected bowel was the procedure of choice. The resected specimens histologically showed pneumatosis cystoides intestinalis without any perforation. Her postoperative course was uneventful and she has been doing well with no evidence of recurrence as of the end of June 2005.

Pneumatosis Cystoides Intestinalis in a Rabbit Doe (Oryctolagus Cuniculus)

Pneumatosis cystoides intestinalis (PCI) is an infrequent condition of animals characterized by the existence of numerous thin-walled, gas-filled cystic structures within the intestinal wall and adjacent lymph nodes. Microscopically, the cystic structures appear to be dilated lymphatics located in the lamina propria, submucosa, muscularis, subserosa, mesentery, and mesenteric lymph nodes. This report describes a case of pneumatosis cystoides intestinalis in a rabbit doe from an organic farm where 20 rabbit does were fed ad libitum with a natural diet consisting of whole barley, pea beans, alfalfa hay, and a pelleted vitamin-mineral blend. A combination of nutritional, bacterial, and other factors are hypothesized as possible predisposing factors in the development of PCI.

A Case of Pneumatosis Cystoides intestinalis with Occupational exposure to Trichloroethylene that treated with Hyperbaric Oxygen Therapy

A Case of Pneumatosis Cystoides intestinalis with Occupational exposure to Trichloroethylene that treated with Hyperbaric Oxygen Therapy

A case of pneumatosis cystoides intestinalis with polymyositis improved by high flow oxygen therapy

A case of pneumatosis cystoides intestinalis with polymyositis improved by high flow oxygen therapy

A case of Pneumatosis cystoides intestinalis and intestinal pseudo-obstruction in overlap syndrome manifested by polymyositis and scleroderma

A case of Pneumatosis cystoides intestinalis and intestinal pseudo-obstruction in overlap syndrome manifested by polymyositis and scleroderma

A case of pneumatosis cystoides intestinalis developed in a patient with Sjogren syndrome during administration of anetholetrithion

A case of pneumatosis cystoides intestinalis developed in a patient with Sjogren syndrome during administration of anetholetrithion

A case of pneumatosis cystoides intestinalis with dermatomyositis in which EUS was useful for the diagnosis

A case of pneumatosis cystoides intestinalis with dermatomyositis in which EUS was useful for the diagnosis

A case of pneumatosis cystoides intestinalis in a patient with polymyositis and interstitial pneumonia

We report the case of a 49-year-old man who presented with pneumatosis cystoides intestinalis associated with polymyositis and interstitial pneumonia. Three months after the administration of prednisolone and cyclosporine, he noticed mild abdominal distension, and a radiographic examination showed intraperitoneal free gas and intramural gas, suggestive of pneumatosis cystoides intestinalis (PCI). Additional treatment with a combination of doxycycline and high-dose oxygen therapy was effective in relieving the clinical symptoms and reducing the intramural gas.

A case of pneumatosis cystoides intestinalis assumed to be induced by acarbose administration for diabetes mellitus and pemphigus vulgaris

A case of pneumatosis cystoides intestinalis assumed to be induced by acarbose administration for diabetes mellitus and pemphigus vulgaris

大腸癌に合併した腸管嚢腫様気腫症の1例

An 81-year-old man reported abdominal pain and fever. Abdominal computed tomography (CT) revealed free air, numerous smoothly rounded gas cysts, and a tumor 5.5cm in diameter containing gas. We diagnosed Intestinal obstruction with imminent ascending colon rupture and conducted emergency laparotomy that revealed extensive cysts in the ileum, left colon, and rectum. We conducted right hemicolectomy. Histological examination of the ascending lesion levealed a mucinous stage II carcinoma (se, ly3, v0, n0, ow (-), aw (-), ew (-), ). Few cases of pneumatosis cystoides intestinalis (PCI) coinciding with colonic cancer have been reported. In our case, PCI was considered to due to intestinal obstruction by colon carcinoma.

A case of pneumatosis cystoides intestinalis involving the small intestine, large intestine and stomach

A case of pneumatosis cystoides intestinalis involving the small intestine, large intestine and stomach

Pneumatose kystique intestinale, colectomie laparoscopique

The authors report a case of pneumatosis cystoides intestinalis which, after failure of medical treatment, was treated by laparoscopic partial colectomy. Surgical treatment is a last resort and the laparoscopically-assisted approach seems to be a good indication in colectomy for pneumatosis cystoides intestinalis.

7148 Two young patients with a primary form of pneumatosis cystoides intestinalis.

Pneumatosis cystoides intestinalis (PCI) is a rare condition characterized by the presence of submucosal or subserosal gas-filled cysts within the bowel wall. From 1985, we have observed five cases of PCI; we present two of these cases, that can be considered atypical in some way. In the first patient, a 20-year-old white male, disease was localized to the right colon. He had a history of chronic abdominal pain, with no findings at physical examination. A colonoscopy showed the presence of multiple rounded bluish masses in the right colon; puncture of these polypoid lesions with an endoscopic injection needle caused them to collapse, so confirming the diagnosis.A barium enema was then performed, with final definition of the case. An accurate evaluation excluded any associated condition and patient received no specific therapy. Three months later, follow-up endoscopy documented a complete resolution of the lesions. The second patient, a 23- year-old female, presented a disease localized to the left colon. She was referred for a recent history of abdominal pain and change in bowel habits; for this reason, patient underwent a colonscopy showing the presence of multiple typical lesions of PCI in the descending-sigmoid colon. Again, no associated condition was found. Follow-up endoscopy, performed after four months, revealed disappearance of gas collections without specific treatment. We conclude that the peculiarity of these two cases of PCI consists in the following aspects: 1)appearance in young patients; 2)absence of associated conditions (primary or idiopathic form); 3)differential diagnosis with inflammatory bowel disease; 4)spontaneous and rapid resolution of lesions.

A case of pneumatosis cystoides intestinalis detected in the screening program for colorectal cancer with fecal occult blood testing

A case of pneumatosis cystoides intestinalis detected in the screening program for colorectal cancer with fecal occult blood testing

Sonography of pneumatosis cystoides intestinalis.

Pneumatosis cystoides intestinalis (PCI) is a relatively rare benign condition, and its sonographic findings have rarely been reported. We report on four cases of PCI in which sonography showed multiple immobile linear or spotty high echoes in the thickened colonic wall. These sonographic findings were more clearly visualized by using high-frequency probes and helped in establishing the diagnosis. In addition, color Doppler sonography confirmed the absence of portal gas and helped rule out fulminant PCI. When encountering patients with abundant abdominal gas, the possibility of PCI should be considered and the colonic wall and the portal vein should be meticulously observed by high-frequency probe and color Doppler sonography to prevent a delay in the diagnosis and to improve patient management.

TWO CASES OF PNEUMATOSIS CYSTOIDES INTESTINALIS FOUND BY INTRAPERITONEAL FREE AIR

We present two cases of pneumatosis cystoides intestinalis (PCI) found by intraperitoneal free air. Case 1: A 73-year-old woman was seen at the hospital because of right lower abdominal pain. Intraperitoneal free air was detected by chest and abdominal roentgenograms. Pneumatoid changes of the cecum, splenic flexure, descending and sigmoid colon were observed during laparotomy. Because of the risk of perforation ileocecal resection was carried out, but no evidence of perforated intestine was found. Case 2: A 73-year-old woman with Parkinson's disease was seen at the hospital because of chest pain. Intraperitoneal free air was detected by chest roentgenogram, and abdominal CT scan demonstrated pneumatosis of the colonic wall. After the patient was treated with hyper oxygen, the intraperitoneal free air disappeared completely. We concluded that abdominal CT scan should be employed for a patient without abdominal muscle guarding but with intraperitoneal free air by roentgenogram, and that hyper oxygen therapy should be the treatment of choise at first when the diagnosis is PCI.

A case of pneumatosis cystoides intestinalis associated with pulmonary fibrosis

A case of pneumatosis cystoides intestinalis associated with pulmonary fibrosis

Pneumatose kystique intestinale au cours d'une polyarthrite rhumatoïde

We report a case of pneumatosis cystoides intestinalis in a 50 year old woman who had received steroids and méthotrexate for a rhumatoid arthritis with recurrent pericarditis. The pathogenic role of immunosuppressive agents is discussed and the contributive influence of hyperbaric oxygen treatment is emphasized.

A CASE OF PNEUMATOSIS CYSTOIDES INTESTINALIS WITH DUODENAL DIVERTICULUM AND GALL STONE

A case of pneumatosis cystoides intestinalis is reported. An 84-year-old woman visited the hospital because of severe right hypochondrial pain. Abdominal X-ray examination revealed a free air in the intraperitoneal cavity. Though peritoneal irritation was mild, a possible occurrence of intestinal perforation could not be denied, because of her advanced age and the lasting abdominal pain. Lapalotomy was performed. Cholecystlithiasis accompanying by gallstones, duodenal diverticulum, and a number of intramural small cysts of the ileum were found, but there was no perforation. From pathological findings, a definite diagnosis of pneumatosis cystoides intestinalis was made. It is thought that the free air might attribute to the disease and severe pain to gall stones. Postoperative course was uneventful, and the patient was discharged from the hospital.

A Case of Pneumatosis Cystoides Intestinalis Associated with Trichlor‐oethylene Developing Typical Features during the Follow‐up of Undetermined Sigmoid Lesions

Abstract: A 64‐year‐old male lens grinder with a 43‐year history of occupational exposure to trichloroethylene (TCE) visited Shinshu University Hospital in December 1988 complaining of distention of the lower abdomen. A barium enema study and endoscopic examination showed rosary‐like semilunar folds and edematous mucosa of undetermined etiology in the sigmoid colon. Three months later, the patient visited the hospital again complaining of blood in the stool. An endoscopic examination performed at this time revealed numerous broad‐based, smooth‐surfaced, protruding lesions in the sigmoid colon. A diagnosis of pneumatosis cystoides intestinalis (PCI) associated with TCE was made. After 4‐days treatment with 50% oxygen given by inhalation, the patient's symptoms were completely relieved, and a colonoscopy revealed no evidence of PCI. He returned to his job at the factory which involved dealing with TCE and because of adequate ventilation and a shorter work‐day he has been free of recurrence during a year follow‐up period. The finding of rosary‐like semilunar folds, as demonstrated by the initial endoscopic and barium enema studies in our patient, is a peculiar one in the incipient stage of PCI.