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Imaging Features of Systemic Sclerosis-Associated Interstitial Lung Disease

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Published on: June 16, 2020

Pneumatosis cystoides intestinalis.

Francesco Azzaroli¹, Laura Turco, Liza Ceroni

¹Department of Clinical Medicine, Division of Gastroenterology, S.Orsola-Malpighi Hospital, University of Bologna, 40138 Bologna, Italy. francesco.azzaroli@unibo.it

World Journal of Gastroenterology

|December 16, 2011

Summary

Pneumatosis cystoides intestinalis (PCI) presents diversely, challenging diagnosis. Early recognition via imaging and awareness of endoscopic findings are crucial for appropriate patient management and avoiding surgery.

Keywords:

Endoscopy Hyperbaric oxygen Pneumatosis cystoides intestinalis Pneumoperitoneum Treatment

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Area of Science:

Gastroenterology
Radiology
Internal Medicine

Background:

Pneumatosis cystoides intestinalis (PCI) is a rare condition with varied clinical presentations, often posing diagnostic challenges.
It can be associated with diverse underlying diseases, necessitating thorough investigation.

Observation:

This paper details common and uncommon clinical scenarios of PCI.
New-onset constipation may be a presenting symptom in some patients.
Radiographic findings, including X-rays and CT scans, are key to diagnosis.

Findings:

While X-rays suggest PCI in two-thirds of cases, CT/MRI are vital for definitive diagnosis in the remaining third.
CT scans reveal thickened bowel walls with gas, differentiating PCI from other conditions and identifying potential underlying causes.
Associated findings on CT, such as bowel wall thickening and ascites, can indicate serious underlying pathology.

Implications:

Clinicians and endoscopists must be aware of PCI's varied presentations for accurate diagnosis and management.
Increased colonoscopies may lead to more incidental PCI findings, requiring endoscopists to recognize its endoscopic features.
Timely diagnosis and awareness can prevent unnecessary surgical interventions.