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Pneumatosis cystoides intestinalis accompanied by schistosomiasis: a case report

Pneumatosis cystoides intestinalis (PCI) is a rare disease that most frequently occurs in the large and small intestine and has no obvious clinical symptoms. The main pathological feature is the presence of air-filled cysts in the intestinal submucosa, intermuscular wall, and subserous membrane. Con...

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Autores principales: Yuan, Chunyan, Teng, Fei, Huang, Zhongyue, Liu, Qiping, Du, Ling, Xie, Xiaoli, Jiang, Xuebing, Sheng, Xia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9344114/
https://www.ncbi.nlm.nih.gov/pubmed/35722835
http://dx.doi.org/10.1177/03000605221105160
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author Yuan, Chunyan
Teng, Fei
Huang, Zhongyue
Liu, Qiping
Du, Ling
Xie, Xiaoli
Jiang, Xuebing
Sheng, Xia
author_facet Yuan, Chunyan
Teng, Fei
Huang, Zhongyue
Liu, Qiping
Du, Ling
Xie, Xiaoli
Jiang, Xuebing
Sheng, Xia
author_sort Yuan, Chunyan
collection PubMed
description Pneumatosis cystoides intestinalis (PCI) is a rare disease that most frequently occurs in the large and small intestine and has no obvious clinical symptoms. The main pathological feature is the presence of air-filled cysts in the intestinal submucosa, intermuscular wall, and subserous membrane. Conservative treatment is the first choice when no serious complications are present, whereas timely surgical treatment is needed for serious and life-threatening complications. This report presents the clinical and pathological analysis of PCI in a man in his early 90s. The patient was hospitalized because of acute abdomen and diagnosed with perforation of the sigmoid colon due to PCI with schistosomiasis after emergency surgery. Emergency partial sigmoid colon resection and permanent colostomy were performed under general anesthesia. Preoperative diagnosis of PCI is difficult because of the nonspecific clinical manifestations and endoscopic findings, and missed diagnosis and misdiagnosis easily occur. Pure PCI has no specific symptoms and does not require special treatment, and there is a lack of special treatment methods in clinical practice. However, when PCI is combined with other intestinal diseases such as schistosomiasis enteropathy, intestinal perforation is likely to occur, leading to severe acute abdomen with the need for prompt surgical treatment.
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spelling pubmed-93441142022-08-03 Pneumatosis cystoides intestinalis accompanied by schistosomiasis: a case report Yuan, Chunyan Teng, Fei Huang, Zhongyue Liu, Qiping Du, Ling Xie, Xiaoli Jiang, Xuebing Sheng, Xia J Int Med Res Case Reports Pneumatosis cystoides intestinalis (PCI) is a rare disease that most frequently occurs in the large and small intestine and has no obvious clinical symptoms. The main pathological feature is the presence of air-filled cysts in the intestinal submucosa, intermuscular wall, and subserous membrane. Conservative treatment is the first choice when no serious complications are present, whereas timely surgical treatment is needed for serious and life-threatening complications. This report presents the clinical and pathological analysis of PCI in a man in his early 90s. The patient was hospitalized because of acute abdomen and diagnosed with perforation of the sigmoid colon due to PCI with schistosomiasis after emergency surgery. Emergency partial sigmoid colon resection and permanent colostomy were performed under general anesthesia. Preoperative diagnosis of PCI is difficult because of the nonspecific clinical manifestations and endoscopic findings, and missed diagnosis and misdiagnosis easily occur. Pure PCI has no specific symptoms and does not require special treatment, and there is a lack of special treatment methods in clinical practice. However, when PCI is combined with other intestinal diseases such as schistosomiasis enteropathy, intestinal perforation is likely to occur, leading to severe acute abdomen with the need for prompt surgical treatment. SAGE Publications 2022-06-19 /pmc/articles/PMC9344114/ /pubmed/35722835 http://dx.doi.org/10.1177/03000605221105160 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Reports
Yuan, Chunyan
Teng, Fei
Huang, Zhongyue
Liu, Qiping
Du, Ling
Xie, Xiaoli
Jiang, Xuebing
Sheng, Xia
Pneumatosis cystoides intestinalis accompanied by schistosomiasis: a case report
title Pneumatosis cystoides intestinalis accompanied by schistosomiasis: a case report
title_full Pneumatosis cystoides intestinalis accompanied by schistosomiasis: a case report
title_fullStr Pneumatosis cystoides intestinalis accompanied by schistosomiasis: a case report
title_full_unstemmed Pneumatosis cystoides intestinalis accompanied by schistosomiasis: a case report
title_short Pneumatosis cystoides intestinalis accompanied by schistosomiasis: a case report
title_sort pneumatosis cystoides intestinalis accompanied by schistosomiasis: a case report
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9344114/
https://www.ncbi.nlm.nih.gov/pubmed/35722835
http://dx.doi.org/10.1177/03000605221105160
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