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Primary pneumotosis cystoides intestinalis.
Chun-Hsiung Liu1, Hong Haw Chen, Wan-Ting Huang
1Department of General Surgery, Tainan General Hospital, Tainan.
Chang Gung Medical Journal
|April 30, 2003
Summary
Pneumatosis cystoides intestinalis (PCI), a rare condition, was observed in a patient with chronic pulmonary disease. Surgical intervention led to a successful recovery, highlighting a unique clinical presentation and management outcome.
Area of Science:
- Gastroenterology
- Pulmonology
- Surgical Case Report
Background:
- Pneumatosis cystoides intestinalis (PCI) is a rare condition characterized by gas-filled cysts in the intestinal wall.
- Chronic pulmonary disease is not typically associated with PCI, making this case unusual.
- The patient presented with non-specific gastrointestinal symptoms.
Observation:
- A 79-year-old female patient with a history of chronic pulmonary disease was admitted for abdominal fullness and altered bowel habits.
- Colonoscopy identified multiple, easily bleeding, round cystic lesions in the sigmoid colon.
- Evidence of local peritonitis necessitated surgical intervention.
Findings:
- The sigmoid colon cysts were consistent with pneumatosis cystoides intestinalis.
- A left hemicolectomy with primary anastomosis was performed due to persistent local peritonitis.
- Histopathological examination confirmed the diagnosis of PCI.
Implications:
- This case expands the known clinical spectrum of pneumatosis cystoides intestinalis.
- It highlights the importance of considering PCI in patients with chronic pulmonary disease presenting with gastrointestinal symptoms.
- Successful surgical management in this complex patient underscores the viability of intervention for symptomatic PCI.