Occlusive syndrome in intestinal cystic pneumatosis, medical treatment or surgery

Rachid, Mohamed Ghassane; Sadok, Taoufik; Narjis, Y.; Benelkhaiat, Ridouan Benomar

doi:10.11604/pamj-cm.2020.2.65.21291

“…PCI is an uncommon disease (0.03% of adults) 6 and its pathogenesis is still not clear. 7 According to its etiology, literature classifies this entity mainly as primary or secondary type. 8 There is also an idiopathic type which usually affects the left colon and is rarely reported in the literature.…”

Section: Discussionmentioning

confidence: 99%

“…9 Its pathogenesis is multifactorial and can be explained by 3 theories: mucosal disruption, bacterial theory, and pulmonary disease. 1,7,10,11 The mucosal disruption is due to the dissemination of bowel gas through a mucosal defect into lymphatic channels. 1,10 Wu et al 12 found that high altitude is a new theory explaining PCI's pathogenesis.…”

Section: Discussionmentioning

confidence: 99%

“…This event depends on the size and number of the cysts which lead in certain cases to a reduction of the intestinal lumen, volvulus, perforation, and hemorrhage. 7,11 In the literature, PCI associated with volvulus is much more uncommon. Besides this association, one of the highlights of our case is the long and hypermobile small bowel mesentery.…”

Section: Discussionmentioning

confidence: 99%

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Case Report: An unusual case of small bowel volvulus associated with pneumatosis intestinalis

Zouaghi

¹

,

Hadded

²

,

Mesbahi

³

et al. 2021

F1000Res

0

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Pneumatosis cystoid intestinalis is a rare disease reported in the literature affecting 0.03% of the population. It has a variety of causes and its manifestation may change widely. It usually presents as a marginal finding resulting from various gastrointestinal pathologies. In the acute complicated form of pneumatosis intestinalis, management is challenging for physicians and surgeons. We present a case of a 60-year-old patient who was admitted to our surgical department with a symptomatology suggestive of small bowel occlusion. Computed tomography demonstrated ileal volvulus associated with parietal signs suffering and pneumoperitoneum. An emergent exploratory laparoscopy followed by conversion was performed demonstrating segmental ileal pneumatosis intestinalis secondary to a small bowel volvulus due to an inflammatory appendix wrapping around the distal ileum. Further, detorsion, retrograde draining, and appendectomy were performed because there were no signs of necrosis and the appendix was pathological. The postoperative course was uneventful. This case is exceedingly rare in the literature, because it was featured by the ileal volvulus due to appendicitis.This case report emphasizes the importance of surgical procedures in the management of symptomatic pneumatosis intestinalis.

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“…PCI is an uncommon disease (0.03% of adults) (6). Its pathogenesis is still not clear (7). According to its etiology, literature classi es this entity as a primary or secondary type (8).…”

Section: Discussionmentioning

confidence: 99%

“…However, the secondary type affected frequently the small intestine and the right colon (9). Its pathogenesis is multifactorial, can be explained by 3 theories: mucosal disruption, bacterial theory, and pulmonary disease (1,7,10,11). The mucosal disruption is due to the dissemination of bowel gas through a mucosal defect into lymphatic channels (1, 10).…”

Section: Discussionmentioning

confidence: 99%

An Unusual Case of Small Bowel Volvulus Associated with Pneumatosis Intestinalis: A Case Report

Zouaghi

¹

,

Hadded

²

,

Mesbahi

³

et al. 2021

Preprint

0

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INTRODUCTION: Pneumatosis cystoid intestinalis (PCI) is a rare disease reported in the literature affecting 0.03% of the population. It has a variety of causes and its manifestation may change widely. In the acute complicated form of pneumatosis intestinalis, management is challenging for physicians and surgeons. CASE PRESENTATION: We present a case of a 60-year-old patient who was admitted to our surgical department with a symptomatology suggestive of small bowel occlusion. Computed tomography demonstrated ileal volvulus associated with parietal signs suffering and pneumoperitoneum. An emergent exploratory laparoscopy followed by conversion was performed demonstrating segmental ileal pneumatosis intestinalis secondary to a small bowel volvulus due to an inflammatory appendix wrapping around the distal ileum. Detorsion, retrograde draining, and appendectomy were performed. DISCUSSION: PCI is an uncommon disease, affecting 0.03% of the population. It is usually presenting as a marginal finding resulting from various gastrointestinal pathologies. This case is exceedingly rare in the literature, featured by the ileal volvulus due to appendicitis.CONCLUSION: This work emphasizes the importance of surgical procedures in the management of symptomatic pneumatosis intestinalis.

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Case Report: An unusual case of small bowel volvulus due to appendicitis associated with pneumatosis intestinalis: Review of the literature

Zouaghi

¹

,

Hadded

²

,

Mesbahi

³

et al. 2022

F1000Res

1

0

View full text Add to dashboard Cite

Pneumatosis cystoid intestinalis is a rare disease reported in the literature affecting 0.03% of the population. It has a variety of causes and its manifestation may change widely. It usually presents as a marginal finding resulting from various gastrointestinal pathologies. In the acute complicated form of pneumatosis intestinalis, management is challenging for physicians and surgeons. We present a case of a 60-year-old patient who was admitted to our surgical department with a symptomatology suggestive of small bowel occlusion. Computed tomography demonstrated ileal volvulus associated with parietal signs suffering and pneumoperitoneum. An emergent exploratory laparoscopy followed by conversion was performed demonstrating segmental ileal pneumatosis intestinalis secondary to a small bowel volvulus due to an inflammatory appendix wrapping around the distal ileum. Further, detorsion, retrograde draining, and appendectomy were performed because there were no signs of necrosis and the appendix was pathological. The postoperative course was uneventful. This case is exceedingly rare in the literature, because it was featured by the ileal volvulus due to appendicitis.This case report emphasizes the importance of surgical procedures in the management of symptomatic pneumatosis intestinalis associated to an acute abdomen.

show abstract

Occlusive syndrome in intestinal cystic pneumatosis, medical treatment or surgery

Cited by 3 publications

References 0 publications

Case Report: An unusual case of small bowel volvulus associated with pneumatosis intestinalis

Case Report: An unusual case of small bowel volvulus associated with pneumatosis intestinalis

An Unusual Case of Small Bowel Volvulus Associated with Pneumatosis Intestinalis: A Case Report

Case Report: An unusual case of small bowel volvulus due to appendicitis associated with pneumatosis intestinalis: Review of the literature

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