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Pneumatosis coli associated with sigmoid volvulus and colonoscopy
The American Journal of Gastroenterology
|March 1, 1976
Summary
A rare case of interstitial emphysema in the sigmoid colon mesentery occurred after volvulus reduction via colonoscopy. This finding, a form of pneumatosis intestinalis, is unusual and discussed in relation to volvulus and endoscopic procedures.
Area of Science:
- Gastroenterology
- Abdominal Imaging
- Surgical Pathology
Background:
- Volvulus, a twisting of the intestine, can lead to complications such as ischemia and perforation.
- Pneumatosis intestinalis is characterized by the presence of gas within the intestinal wall.
- Colonoscopy is a common endoscopic procedure for diagnosing and treating various colonic conditions.
Observation:
- A case of interstitial emphysema involving the mesentery and serosa of the sigmoid colon was observed.
- This condition occurred subsequent to the reduction of sigmoid volvulus by colonoscopy.
- The observed emphysema did not align with the typical presentation of pneumatosis cystoides intestinalis.
Findings:
- The case presented is classified as a form of pneumatosis intestinalis.
- Interstitial emphysema was identified in the mesentery and serosa of the sigmoid colon.
- The association with sigmoid volvulus and colonoscopic reduction is noted as infrequent.
Implications:
- This case highlights a rare complication of sigmoid volvulus reduction, emphasizing the importance of recognizing atypical presentations of pneumatosis intestinalis.
- Understanding this association can aid clinicians in diagnosing and managing similar post-procedural complications.
- Further investigation into the mechanisms linking volvulus, colonoscopy, and interstitial emphysema may refine clinical protocols and patient care.