pneumatosis cystoides coliに関連した再発性腸内静脈受容:小児症例報告
Sarah Barrett1, Tanyaporn Kaenkumchorn1, Pooja Thakrar2
1Division of Gastroenterology Medical College of Wisconsin Milwaukee Wisconsin USA.
JPGN reports
|February 16, 2026
まとめ
小児のまれな疾患である肺炎シスタイド大腸炎 (PCC) は,7歳の少女の再発性腸内静脈受容を引き起こした. ハイパーバリック酸素療法により,PCCがうまく解消され,さらなる腸内受容エピソードが予防されました.
科学分野:
- 小児胃腸内科 小児胃腸内科
- 胃腸放射線科 胃腸放射線科
- 外科小児科 外科小児科
背景:
- Pneumatosis cystoides coli (PCC) は,胃腸壁にガスで満たされたキストが特徴である珍しい疾患です.
- PCCは小児の集団では珍しく,様々な胃腸症状を呈することがあります.
- 子どもにおける再発性腸内静脈受容は,診断および治療上の課題であり,時にはリードポイントの特定が必要となる.
研究 の 目的:
- 小児性肺炎シスタイドス・コリ (PCC) のまれな症例を報告し,再発性イレオコリック内膜離症として報告します.
- 小児患者のPCCの診断上の課題と治療成果を強調する.
- PCCおよび関連する腸内静脈受容の解消における高圧酸素療法の有効性を評価する.
主な方法:
- 7歳の女性の症例報告.再発性腸内離症.
- 腹部と骨盤のコンピュータトモグラフィー (CT) を含む診断イメージングで,大腸壁面の空気で満たされたシスティック病変を特定します.
- 治療方法には,メトロニダゾール,ソービトールフリーダイエット,継続的な低流量酸素,その後,高圧酸素療法が含まれていました.
主要な成果:
- 患者は,広範囲な結腸性肺炎 (PCC) に二次的な再発性イレオコーリック内静脈静止症を呈した.
- 抗生物質,食事の変更,酸素による初期治療はPCCを治すことができなかった.
- 高圧酸素療法により,PCCが完全に解消し,腸内静脈受容エピソードが停止しました.
結論:
- Pneumatosis cystoides coliは,小児における再発性腸内静脈受容の異常なリードポイントである可能性があります.
- 標準的な医療療法では,小児患者のPCCの治療には不十分かもしれません.
- ハイパーバリック酸素療法 (Oxygen therapy) は,耐火性肺炎症 (Pneumatosis cystoides coli) に対して有望かつ効果的な治療法であり,関連する腸内静脈受容を解決します.
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