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...

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Autores principales: Wada, Kensuke, Takeuchi, Nobuhiro, Emori, Masakazu, Takada, Masanori, Nomura, Yusuke, Otsuka, Akihito
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elmer Press 2017
Materias:
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.
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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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