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Pneumatosis cystoides intestinalis with pneumoperitoneum secondary to stenosing pyloro-duodenal peptic ulcer: Case series of three patients and literature review

INTRODUCTION: Pneumatosis cystoides intestinalis (PCI) is a rare condition, which can affect the entire gastro-intestinal tract. It can be idiopathic or most often secondary to various diseases. The causes remain multiple and the stenosing peptic ulcer is one of them. We report three case reports of...

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Autores principales: El Hattabi, Khalid, Lafkih, Oussama, Bensardi, Fatimazahra, Elbakouri, Abdelilah, Bouali, Mounir, Fadil, Abdelaziz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8010462/
https://www.ncbi.nlm.nih.gov/pubmed/33743257
http://dx.doi.org/10.1016/j.ijscr.2021.105772
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author El Hattabi, Khalid
Lafkih, Oussama
Bensardi, Fatimazahra
Elbakouri, Abdelilah
Bouali, Mounir
Fadil, Abdelaziz
author_facet El Hattabi, Khalid
Lafkih, Oussama
Bensardi, Fatimazahra
Elbakouri, Abdelilah
Bouali, Mounir
Fadil, Abdelaziz
author_sort El Hattabi, Khalid
collection PubMed
description INTRODUCTION: Pneumatosis cystoides intestinalis (PCI) is a rare condition, which can affect the entire gastro-intestinal tract. It can be idiopathic or most often secondary to various diseases. The causes remain multiple and the stenosing peptic ulcer is one of them. We report three case reports of pneumatosis cystoides with pneumoperitoneum intestinalis secondary to stenosing pyloro-duodenal peptic ulcer. CASE PRESENTATION: We report a case series of three patients with PCI that presented to the emergency department with a reassuring clinical picture with the discovery in imaging of a pneumoperitoneum. All our patients presented with a pyloro-duodenal stenosis secondary to a complicated peptic ulcer, one of which was treated surgically and the other two endoscopically. DISCUSSION: The objective of this report is to provide an update on pneumatosis cystoides intestinalis secondary to stenosing pyloro-duodenal peptic ulcer, by specifying its etiopathogenic, diagnostic and therapeutic characteristics. CONCLUSION: Knowledge of this pathology is necessary in order to avoid unnecessary abusive surgery.
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spelling pubmed-80104622021-04-02 Pneumatosis cystoides intestinalis with pneumoperitoneum secondary to stenosing pyloro-duodenal peptic ulcer: Case series of three patients and literature review El Hattabi, Khalid Lafkih, Oussama Bensardi, Fatimazahra Elbakouri, Abdelilah Bouali, Mounir Fadil, Abdelaziz Int J Surg Case Rep Case Series INTRODUCTION: Pneumatosis cystoides intestinalis (PCI) is a rare condition, which can affect the entire gastro-intestinal tract. It can be idiopathic or most often secondary to various diseases. The causes remain multiple and the stenosing peptic ulcer is one of them. We report three case reports of pneumatosis cystoides with pneumoperitoneum intestinalis secondary to stenosing pyloro-duodenal peptic ulcer. CASE PRESENTATION: We report a case series of three patients with PCI that presented to the emergency department with a reassuring clinical picture with the discovery in imaging of a pneumoperitoneum. All our patients presented with a pyloro-duodenal stenosis secondary to a complicated peptic ulcer, one of which was treated surgically and the other two endoscopically. DISCUSSION: The objective of this report is to provide an update on pneumatosis cystoides intestinalis secondary to stenosing pyloro-duodenal peptic ulcer, by specifying its etiopathogenic, diagnostic and therapeutic characteristics. CONCLUSION: Knowledge of this pathology is necessary in order to avoid unnecessary abusive surgery. Elsevier 2021-03-13 /pmc/articles/PMC8010462/ /pubmed/33743257 http://dx.doi.org/10.1016/j.ijscr.2021.105772 Text en © 2021 The Author(s) http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Series
El Hattabi, Khalid
Lafkih, Oussama
Bensardi, Fatimazahra
Elbakouri, Abdelilah
Bouali, Mounir
Fadil, Abdelaziz
Pneumatosis cystoides intestinalis with pneumoperitoneum secondary to stenosing pyloro-duodenal peptic ulcer: Case series of three patients and literature review
title Pneumatosis cystoides intestinalis with pneumoperitoneum secondary to stenosing pyloro-duodenal peptic ulcer: Case series of three patients and literature review
title_full Pneumatosis cystoides intestinalis with pneumoperitoneum secondary to stenosing pyloro-duodenal peptic ulcer: Case series of three patients and literature review
title_fullStr Pneumatosis cystoides intestinalis with pneumoperitoneum secondary to stenosing pyloro-duodenal peptic ulcer: Case series of three patients and literature review
title_full_unstemmed Pneumatosis cystoides intestinalis with pneumoperitoneum secondary to stenosing pyloro-duodenal peptic ulcer: Case series of three patients and literature review
title_short Pneumatosis cystoides intestinalis with pneumoperitoneum secondary to stenosing pyloro-duodenal peptic ulcer: Case series of three patients and literature review
title_sort pneumatosis cystoides intestinalis with pneumoperitoneum secondary to stenosing pyloro-duodenal peptic ulcer: case series of three patients and literature review
topic Case Series
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8010462/
https://www.ncbi.nlm.nih.gov/pubmed/33743257
http://dx.doi.org/10.1016/j.ijscr.2021.105772
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