Two Cases of Pneumatosis Cystoides Intestinalis With Intraperitoneal Free Air
Intraperitoneal free air (IFA) is sometimes accompanied by pneumatosis cystoides intestinalis (PCI); therefore, proper diagnosis is essential for PCI management. We report two cases of PCI with IFA. A 70-year-old female taking anti-psychotic medication for schizophrenia presented with repeated vomit...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Elmer Press
2017
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5505290/ https://www.ncbi.nlm.nih.gov/pubmed/28725312 http://dx.doi.org/10.14740/gr834w |
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author | Wada, Kensuke Takeuchi, Nobuhiro Emori, Masakazu Takada, Masanori Nomura, Yusuke Otsuka, Akihito |
author_facet | Wada, Kensuke Takeuchi, Nobuhiro Emori, Masakazu Takada, Masanori Nomura, Yusuke Otsuka, Akihito |
author_sort | Wada, Kensuke |
collection | PubMed |
description | Intraperitoneal free air (IFA) is sometimes accompanied by pneumatosis cystoides intestinalis (PCI); therefore, proper diagnosis is essential for PCI management. We report two cases of PCI with IFA. A 70-year-old female taking anti-psychotic medication for schizophrenia presented with repeated vomiting and high-grade fever. Computed tomography revealed small, linear gaseous cysts in the intestinal wall along with IFA. Although there was no sign of peritoneal irritation, intestinal perforation was not excluded. Thus, exploratory laparotomy was performed; it revealed no ascites or perforated sites in the intestine, and revealed numerous small air bubbles in the intestinal wall and mesentery. Thus, a diagnosis of PCI was made, and ileostomy was performed to relieve intestinal pressure. The postoperative course was uneventful. A 79-year-old male with pulmonary emphysema presented with dyspnea due to abdominal distention. Cyanosis was evident, and arterial blood gas analysis revealed metabolic acidosis. CT revealed massive IFA along with multiple, small bubbly cysts under the intestinal serosa. He was intubated because of worsening respiratory conditions, and a 12-French drain was inserted to relieve the intraperitoneal pressure. There was no evidence of peritonitis, and IFA was conservatively observed. |
format | Online Article Text |
id | pubmed-5505290 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Elmer Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-55052902017-07-19 Two Cases of Pneumatosis Cystoides Intestinalis With Intraperitoneal Free Air Wada, Kensuke Takeuchi, Nobuhiro Emori, Masakazu Takada, Masanori Nomura, Yusuke Otsuka, Akihito Gastroenterology Res Case Report Intraperitoneal free air (IFA) is sometimes accompanied by pneumatosis cystoides intestinalis (PCI); therefore, proper diagnosis is essential for PCI management. We report two cases of PCI with IFA. A 70-year-old female taking anti-psychotic medication for schizophrenia presented with repeated vomiting and high-grade fever. Computed tomography revealed small, linear gaseous cysts in the intestinal wall along with IFA. Although there was no sign of peritoneal irritation, intestinal perforation was not excluded. Thus, exploratory laparotomy was performed; it revealed no ascites or perforated sites in the intestine, and revealed numerous small air bubbles in the intestinal wall and mesentery. Thus, a diagnosis of PCI was made, and ileostomy was performed to relieve intestinal pressure. The postoperative course was uneventful. A 79-year-old male with pulmonary emphysema presented with dyspnea due to abdominal distention. Cyanosis was evident, and arterial blood gas analysis revealed metabolic acidosis. CT revealed massive IFA along with multiple, small bubbly cysts under the intestinal serosa. He was intubated because of worsening respiratory conditions, and a 12-French drain was inserted to relieve the intraperitoneal pressure. There was no evidence of peritonitis, and IFA was conservatively observed. Elmer Press 2017-06 2017-06-30 /pmc/articles/PMC5505290/ /pubmed/28725312 http://dx.doi.org/10.14740/gr834w Text en Copyright 2017, Wada et al. http://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution Non-Commercial 4.0 International License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Wada, Kensuke Takeuchi, Nobuhiro Emori, Masakazu Takada, Masanori Nomura, Yusuke Otsuka, Akihito Two Cases of Pneumatosis Cystoides Intestinalis With Intraperitoneal Free Air |
title | Two Cases of Pneumatosis Cystoides Intestinalis With Intraperitoneal Free Air |
title_full | Two Cases of Pneumatosis Cystoides Intestinalis With Intraperitoneal Free Air |
title_fullStr | Two Cases of Pneumatosis Cystoides Intestinalis With Intraperitoneal Free Air |
title_full_unstemmed | Two Cases of Pneumatosis Cystoides Intestinalis With Intraperitoneal Free Air |
title_short | Two Cases of Pneumatosis Cystoides Intestinalis With Intraperitoneal Free Air |
title_sort | two cases of pneumatosis cystoides intestinalis with intraperitoneal free air |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5505290/ https://www.ncbi.nlm.nih.gov/pubmed/28725312 http://dx.doi.org/10.14740/gr834w |
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