Video Experimental Relacionado
Updated: Feb 17, 2026
04:14
Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
881
Intususcepción recurrente asociada con neumatosis quística del colon: informe de un caso pediátrico
Sarah Barrett1, Tanyaporn Kaenkumchorn1, Pooja Thakrar2
1Division of Gastroenterology Medical College of Wisconsin Milwaukee Wisconsin USA.
JPGN reports
|February 16, 2026
Resumen
La neumatosis quística del colon (PCC, por sus siglas en inglés), una afección rara en niños, causó intususcepción recurrente en una niña de 7 años. La oxigenoterapia hiperbárica resolvió con éxito la PCC y previno futuros episodios de intususcepción.
Área de la Ciencia:
- Gastroenterología Pediátrica
- Radiología Gastrointestinal
- Pediatría Quirúrgica
Sus antecedentes:
- La neumatosis quística del colon (PCC) es una afección rara caracterizada por quistes llenos de gas en la pared del tracto gastrointestinal.
- La PCC es infrecuente en la población pediátrica y puede presentarse con diversos síntomas gastrointestinales.
- La intususcepción recurrente en niños puede ser un problema diagnóstico y terapéutico difícil, que a veces requiere la identificación de un punto de partida.
Objetivo del estudio:
- Informar un caso raro de neumatosis quística del colon (PCC) pediátrica que se presenta como intususcepción íleon-cólica recurrente.
- Destacar los desafíos diagnósticos y los resultados del tratamiento para la PCC en un paciente pediátrico.
- Evaluar la eficacia de la oxigenoterapia hiperbárica en la resolución de la PCC y la intususcepción asociada.
Principales métodos:
- Informe de caso de una niña de 7 años con intususcepción recurrente.
- Estudios de imagen que incluyen tomografía computarizada (TC) de abdomen y pelvis para identificar lesiones quísticas llenas de aire en la pared del colon.
- Las modalidades de tratamiento incluyeron metronidazol, una dieta sin sorbitol, oxígeno de bajo flujo continuo y, posteriormente, oxigenoterapia hiperbárica.
Principales resultados:
- El paciente presentó intususcepción íleon-cólica recurrente secundaria a neumatosis quística del colon (PCC) extensa.
- Los tratamientos iniciales con antibióticos, modificaciones dietéticas y oxígeno no lograron resolver la PCC.
- El tratamiento con oxígeno hiperbárico condujo a la resolución completa de la PCC y la detención de los episodios de intususcepción.
Conclusiones:
- La neumatosis quística del colon puede ser un punto de partida inusual para la intususcepción recurrente en niños.
- Las terapias médicas estándar pueden no ser suficientes para tratar la PCC en pacientes pediátricos.
- La oxigenoterapia hiperbárica representa un tratamiento prometedor y eficaz para la neumatosis quística del colon refractaria, resolviendo la intususcepción asociada.
Videos de Conceptos Relacionados
01:26Esophageal Strictures-II: Clinical Features and Management
718
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
718
01:21Inflammatory Bowel Disease V: Surgical Management
702
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
702
01:30Esophageal Strictures-I: Introduction
927
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
927
01:28Esophageal Perforation-II: Clinical Manifestations and Management
761
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
761
01:22Esophageal Perforation-I: Introduction
634
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
634
01:25Assessment of the Rectum and Anus
1.4K
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
1.4K