Entrar/Registro  
HOME SPANISH
 
Cirugía y Cirujanos
   
MENU

Contents by Year, Volume and Issue

Table of Contents

General Information

Instructions for Authors

Message to Editor

Editorial Board






>Journals >Cirugía y Cirujanos >Year 2018, Issue 4


Sánchez-Rodríguez JJ, Utrillas-Martínez AC, San Antón-Beranoaguirre J, Moreno-Olivieri AA, Del Val-Gil JM
Pneumatosis cystoides intestinalis: a case report
Cir Cir 2018; 86 (4)

Language: Español
References: 7
Page: 370-373
PDF: 236.74 Kb.


Full text




ABSTRACT

Background: Pneumatosis cystoides intestinalis is an infrequent condition, characterized by the formation of gaseous content cysts under the mucosa and intestinal serous. Clinical case: 84-year-old woman, with a history of rheumatoid arthritis under immunosuppressive treatment, operated 2 years ago by pneumoperitoneum, where she was diagnosed of jejunal diverticulosis and mesenteric emphysema, with diffuse abdominal pain of 2 days of evolution, without other symptoms. In abdominal radiography: pneumoperitoneum with elevation of right hemidiaphragm and distention of small intestine. Given the suspicion of perforation of the intestinal wall, surgical intervention was decided, in which the patient was diagnosed with pneumatosis cystoides intestinalis. Conclusion: Pneumatosis cystoides intestinalis has an unknown etiology, although in a high percentage of patients it has been associated with obstructive pulmonary pathologies, connective tissue diseases, immunosuppression or gastrointestinal diseases. It is located more frequently in the colon and small intestine. It is diagnosed mainly through imaging tests (radiography or computed tomography). The treatment is conservative, performing surgical intervention if there is suspicion of intestinal necrosis; being difficult the differential diagnosis with a pneumoperitoneum by perforation of hollow viscera..


Key words: Pneumatosis cystoides intestinalis, Pneumoperitoneum, Intestinal wall.


REFERENCIAS

  1. Beall D. Pneumatosis intestinalis: a review. Radiology. 1996;199:702.

  2. Brun A. Pneumatosis cystoides intestinalis. Acta Pathol Microbiol Scand. 2009;53:243-52.

  3. Kunishi Y, Ota M, Kato Y, Maeda S. Pneumatosis cystoides intestinalis: lung window setting on CT. Clin Case Rep. 2017;5:1896-7.

  4. Ooi SM. Pneumoperitoneum in a non-acute abdomen-pneumatosis cystoides intestinalis. Surg Case Rep. 2015;1:44.

  5. Wada K, Takeuchi N, Emori M, Takada M, Nomura Y, Otsuka A. Two cases of pneumatosis cystoides intestinalis with intraperitoneal free air. Gastroenterol Res. 2017;10:208-11.

  6. Wu LL, Yang YS, Dou Y, Liu QS. A systematic analysis of pneumatosis cystoides intestinalis. World J Gastroenterol. 2013;19:4973-8.

  7. Pacheco Llerena R, Galindo Gómez J, Luna Valdez C, González Uzieda L, Fernández Hinojosa R, Mendieta Ampuero J, et al. Neumatosis quística intestinal: a propósito de un caso. Rev Soc Bol Ped. 2004;43:15-7.






>Journals >Cirugía y Cirujanos >Year 2018, Issue 4
 

· Journal Index 
· Links 






       
Copyright 2019