Korean J Gastrointest Endosc.  2005 Jun;30(6):336-339.

A Case of Pneumatosis Cystoides Intestinalis

Affiliations
  • 1Department of Internal Medicine, Institute of Gastroenterology, Yonsei University College of Medicine, Seoul, Korea. kimwonho@yumc.yonsei.ac.kr
  • 2Department of Pathology, Yonsei University College of Medicine, Seoul, Korea.

Abstract

Pneumatosis cystoides intestinalis (PCI) is a rare condition defined as the presence of multiple gas-filled cysts in the wall of gastrointestinal tract. The etiology and pathogenesis of PCI remain uncertain. It is associated with various medicosurgical conditions, including various pulmonary and gastointestinal diseases, connective tissue diseases and endoscopic procedures. The diagnosis is confirmed by endoscopic puncture and biopsy. PCI in adults, for the most part, show a benign clinical course and better prognosis if the associated disease is well controlled. Infantile PCI is more serious condition and especially associated with necrotizing enteritis. The treatment is usually conservative, However surgical intervention is needed when complications such as intussusception, obstruction, bleeding and perforation develope. We experienced a case of PCI found during the follow-up colonoscopy in a patient taken right hemicolectomy and systemic adjuvant chemotherapy due to colon cancer.

Keyword

Pneumatosis cystoids intestinalis; Colonoscopy; Chemotherapy; Hemicolectomy

MeSH Terms

Adult
Biopsy
Chemotherapy, Adjuvant
Colonic Neoplasms
Colonoscopy
Connective Tissue Diseases
Diagnosis
Drug Therapy
Enteritis
Follow-Up Studies
Gastrointestinal Tract
Hemorrhage
Humans
Intussusception
Pneumatosis Cystoides Intestinalis*
Prognosis
Punctures
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