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Pneumatosis cystoides intestinalis: A case report
Qiuyu Zhang1, Xiangke Niu2, Cong Wang1
1Department of Gastroenterology, Affiliated Hospital & Clinical Medical College of Chengdu University, Chengdu, Sichuan, China.
Medicine
|January 21, 2022
Summary
Pneumatosis cystoides intestinalis (PCI) is a rare condition with gas-filled cysts in the intestinal wall. Diagnosis relies on imaging and endoscopy, with conservative treatment often effective for uncomplicated cases.
Area of Science:
- Gastroenterology
- Internal Medicine
Background:
- Pneumatosis cystoides intestinalis (PCI) is a rare condition characterized by intestinal submucosal gas-filled cysts.
- It can be secondary to various underlying gastrointestinal or systemic conditions.
Observation:
- A 69-year-old male with COPD presented with altered bowel habits and bloody stools.
- Colonoscopy, CT, and endoscopic ultrasound revealed multiple submucosal cystic lesions consistent with PCI.
- Diagnosis was confirmed by cyst deflation upon fine-needle aspiration.
Findings:
- The patient had no signs of peritonitis or complications.
- Conservative management, including oxygen therapy and probiotics, was initiated.
- The patient improved and was referred for hemorrhoid treatment.
Implications:
- PCI presents with atypical symptoms and can be misdiagnosed.
- Accurate diagnosis requires a combination of imaging (CT, EUS) and endoscopy.
- Fine-needle aspiration can aid in both diagnosis and management of PCI.
