Korean J Gastroenterol.  2016 May;67(5):262-266. 10.4166/kjg.2016.67.5.262.

Clinical Course of Three Cases of Pneumatosis Intestinalis

• Kim I
• Kim JI
• Kwon EJ
• Jang JH
• Jung SM
• Seong HJ
• Cheung DY
• Park SH

• KMID: 2164334
• DOI: http://doi.org/10.4166/kjg.2016.67.5.262

Abstract

Pneumatosis cystoides intestinalis (PCI) is a rare condition characterized by multiple gas-filled cysts of varying size in the wall of gastrointestinal tract. PCI may idiopathic or secondary to various disorders. The etiology and pathogenesis of PCI are unclear. Treatment is usually conservative, and includes oxygen and antibiotics therapy. Surgery is reserved for cases of suspected inconvertible intestinal obstruction or perforation. Eleven patients who were diagnosed with PI between 2005 and 2015 were reviewed. We report three cases of PCI and describe causes and complications. The most important point in the treatment of PCI is to determine whether the patient needs surgery. Conservative care should be considered first if the patient is stable. If any complication is observed, such as ischemia in the intestine, surgery is needed. It is important to choose the best treatment based on prognostic factors and CT findings.

Keyword

Pneumatosis cystoides intestinalis; Therapeutics; Prognosis

MeSH Terms

Anti-Bacterial Agents
Gastrointestinal Tract
Humans
Intestinal Obstruction
Intestines
Ischemia
Oxygen
Pneumatosis Cystoides Intestinalis
Prognosis
Anti-Bacterial Agents
Oxygen

Figure

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  Fig. 1. Contrast enhanced CT scan shows intramural bubble gas-like pneumatosis intestinalis (arrow) in the small bowel (case 1).

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  Fig. 2. Colonoscopic findings show several polypoid mucosal elevations of variable size, and demarcated erythematous friable mucosal changes at distal descending colon (case 1).

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  Fig. 3. Contrast enhanced CT scan shows intramural linear gas-like pneumatosis intestinalis in the small bowel (case 2).

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  Fig. 4. Contrast enhanced CT scan shows large amount of gas in the intrahepatic portal vein (case 2).

Reference

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