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[Pneumatosis cystoides intestinalis].

S J Andresen1, K G Grønneberg, T Oppedal

  • 1Kirurgisk avdeling, Rjukan sykehus.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|June 25, 1999
PubMed
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Pneumatosis cystoides intestinalis, a rare condition causing gas cysts in the GI tract, can mimic surgical emergencies. Diagnosis and symptom resolution were achieved without surgical intervention for perforation.

Area of Science:

  • Gastroenterology
  • Abdominal Imaging
  • Surgical Pathology

Background:

  • Free intraperitoneal air often necessitates emergency surgery.
  • Pneumatosis cystoides intestinalis (PCI) presents with intramural gas cysts, mimicking perforation.
  • PCI symptoms include meteorism, flatulence, diarrhea, abdominal pain, and rectal bleeding.

Observation:

  • A case of PCI is presented with diagnostic imaging findings.
  • Radiographs revealed distended bowel, free intraperitoneal air, and intramural gas collections.
  • Laparotomy identified multiple intramural cysts but no perforation or obstruction.

Findings:

  • The patient's symptoms resolved post-laparotomy.
  • PCI etiology and pathogenesis remain largely unknown.

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  • Potential factors include hydrogen metabolism deficits and bacterial translocation.

    • Implications:

    • PCI diagnosis can prevent unnecessary emergency surgery.
    • Hyperbaric oxygen therapy is a potential treatment.
    • Surgery is reserved for severe, fulminant cases of PCI.