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Endosonographic diagnosis of pneumatosis cystoides intestinalis in infancy

C Takada1, H Kaneko, T Tomomasa

  • 1Department of Pediatrics, Gunma University School of Medicine, 3-39-15 Showa-machi, Maebashi, Gunma 371-8511, Japan.

Techniques in Coloproctology
|October 29, 2002
PubMed

Insights

Pneumatosis cystoides intestinalis, a rare disorder, was diagnosed in a child using colonic endoscopic ultrasonography after chemotherapy for leukemia. Hyperbaric oxygen therapy proved effective for treatment.

Area of Science:

  • Pediatric Gastroenterology
  • Medical Imaging
  • Gastrointestinal Disorders

Background:

  • Chemotherapy for leukemia can lead to gastrointestinal complications.
  • Pneumatosis cystoides intestinalis (PCI) is a rare condition characterized by gas-filled cysts in the intestinal wall.

Observation:

  • A 10-month-old girl presented with bloody diarrhea post-leukemia chemotherapy.
  • Standard imaging (abdominal radiogram, CT) failed to diagnose the condition.
  • Colonic endoscopic ultrasonography (CEUS) was crucial for diagnosing PCI.

Findings:

  • CEUS successfully identified pneumatosis cystoides intestinalis in the pediatric patient.
  • The patient responded well to hyperbaric oxygen therapy (HBOT).

Implications:

  • Endoscopic ultrasonography may improve the detection rates of rare gastrointestinal disorders like PCI.
  • HBOT presents a viable treatment option for pediatric PCI.
  • Further research into chemotherapy-induced GI complications is warranted.

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