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Computed tomography colonography imaging of pneumatosis intestinalis after hyperbaric oxygen therapy: a case report
Jean-Louis Frossard1, Philippe Braude, Jean-Yves Berney
1Service of Gastroenterology and Hepatology, Geneva University Hospital, Rue Gabrielle Perret-Gentil 4, 1211 Genève 14, Switzerland. jean-louis.frossard@hcuge.ch.
Introduction:
Pneumatosis intestinalis is a condition characterized by the presence of submucosal or subserosal gas cysts in the wall of digestive tract. Pneumatosis intestinalis often remains asymptomatic in most cases but may clinically present in a benign form or less frequently in fulminant forms. Treatment for such conditions includes antibiotic therapy, diet therapy, oxygen therapy and surgery.
Case Presentation:
The present report describes the case of a 56-year-old Swiss-born man with symptomatic pneumatosis intestinalis resistant to all treatment except hyperbaric oxygen therapy, as showed by computed tomography colonography images performed before, during and after treatment.
Conclusions:
The current case describes the response to hyperbaric oxygen therapy using virtual colonoscopy technique one month and three months after treatment. Moreover, after six months of follow-up, there has been no recurrence of digestive symptoms.
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