BACKGROUND Pneumatosis cystoides intestinalis, marked by numerous gas-filled cysts in the intestinal wall and submucosa or intestinal submucosa, is a very uncommon condition. CASE PRESENTATION A 79-year-old Asian man presented to our emergency department after 2 days of lower abdominal pain with nausea and constipation. His past medical history included chronic obstructive pulmonary disease a...

INTRODUCTION Pneumatosis cystoides intestinalis is a rare disease characterized by presence of multilocular cysts in the gastrointestinal wall. Rarely, patients may experience symptoms secondary to the cysts. The pathogenesis of pneumatosis cystoides intestinalis is still unclear and many theories have been advocated to explain the exact origin. Complications occur in about 3% of cases and incl...

HYPOTHESIS A review of the spectrum of illness associated with pneumatosis intestinalis enables us to identify the probable causes of, the best diagnostic approaches to, and the most appropriate treatments for this condition. DATA SOURCES A review of all published material in the English language regarding pneumatosis intestinalis was conducted using the PubMed and MEDLINE databases. Any rele...

A 92yearold woman was transferred to our hospital because of diarrhea and vomiting. Approximately 1 month earlier, the patient was admitted to another hospital for the treatment of aspiration pneumonia and pyelonephritis. She had been well with hydration and antibiotics including piperacillintazobactam until 2 days before this presentation, when diarrhea and vomiting developed. On examination, ...

Idiopathic myointimal hyperplasia of mesenteric veins is a very rare disease occurring in young male patients, with no more than eight cases reported in the world literature. It causes venous ischemia in the sigmoid colon and rectum that clinically resembles inflammatory bowel disease. Pneumatosis intestinalis is also a rare condition usually associated to a wide range of diseases including bow...

pneumatosis cystoides intestinalis (pci) is a rare condition charachterized by the presence of multiple gases filled cysts in the gastro intestinal tract. in this article we present three cases with different features, who at the end evaluation pci was diagnosed. the first patient present with rectorrhagia (submucosal pci). the second patient present with dyspepsia (subserosal intestinal pci) a...

3) 臨床経過 主訴:腹部膨満感,便通異常,粘液便. 既往歴:約30年間,心療内科に通院し抗精神病薬な どを服用している.その他に既往症はない. 現病歴:銅管の脱脂洗浄のため,2011年4月よりト リクロロエチレンを使用し始めたが,その2年半後の 2013年秋に便秘気味になり,その後,腹部膨満感があ り,ガスがよく出てトイレが近くなり,粘液も出るよう になった.同年12月に来院したため,腹部CT検査およ び超音波検査を実施した.その後も症状が続き,2014 年5月に来院したため,大腸内視鏡検査を実施した. 腹部CT検査:2013年12月の腹部CT検査では,上行 結腸に複数の憩室が認められた. 超音波検査:2013年12月の超音波検査では,強い腸 管内ガスエコーが認められた. 大腸内視鏡検査:2014年5月の大腸内視鏡検査では, 回盲部,上行結腸,S状結腸,上部直腸において多数の 粘膜...

this is a case of a patient with bowel obstruction , imaging studies were suggestive for pneumatosis intestinalis. clinically diagnosed as adhesion band and pnematosis intestinalis. she underwent laparatomy, enterolysis, obstructionolysis and enterorrhaphy. the patient developed respiratory distress and expired after 2 days. at autopsy we found gray-brown discoloration in the wall of some part ...