Pneumatosis Cystoides Intestinalis

Brun, Arne

doi:10.1111/j.1699-0463.1961.tb00407.x

Cited by 1 publication

(6 citation statements)

References 12 publications

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“…PCI is a rare condition in which gas-containing cysts are formed beneath the intestinal mucosa and serosa and that has an unknown origin [2][3][4] . It is a pathology that mainly affects men, with a ratio of 3.5:1 with respect to women 4 .…”

Section: Discussionmentioning

confidence: 99%

“…In approximately 85% of patients, PCI is associated with chronic lung pathology, connective tissue conditions, immunosuppression or gastrointestinal diseases, and is classified as secondary PCI; the remaining 15% has no underlying pathology, with its etiology being idiopathic, thus being classified as primary PCI 2,5 .…”

Section: Discussionmentioning

confidence: 99%

“…The main clinical manifestations are gastrointestinal symptoms, including vomiting and abdominal distention in patients with PCI in the small intestine walls, and diarrhea with or without melena in those with PCI in the large intestine walls 2,5,7 . In the presented clinical case, abdominal distention is observed, according to the jejunal involvement shown by the patient.…”

Section: Discussionmentioning

confidence: 99%

“…PCI is conservatively treated, regardless of the presence of pneumoperitoneum or gas at the level of the portal vein, unless there is evidence of bleeding or intestinal stenosis 2,6 . In the first place, for conservative treatment to be indicated, we must have a high diagnostic suspicion that we are dealing with this condition.…”

Section: Discussionmentioning

confidence: 99%

“…Pneumatosis cystoides intestinalis (PCI) is a rare condition that is characterized by the presence of gas in the intestinal wall, in the form of submucosal or subserous cysts 1,2 . Differential diagnosis mainly includes visceral perforation, since up to 30% of patients have pneumoperitoneum 2 . Herein, we present a clinical case of PCI and a literature review.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Pneumatosis cystoides intestinalis: a case report

Sánchez-Rodríguez¹,

Utrillas-Martínez²,

Antón-Beranoaguirre³

et al. 2019

CIRUE

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Background: Pneumatosis cystoides intestinalis is an infrequent condition, characterized by the formation of gaseous content cysts under the mucosa and intestinal serous. Clinical case: 84-year-old woman, with a history of rheumatoid arthritis under immunosuppressive treatment, operated 2 years ago by pneumoperitoneum, where she was diagnosed of jejunal diverticulosis and mesenteric emphysema, with diffuse abdominal pain of 2 days of evolution, without other symptoms. In abdominal radiography: pneumoperitoneum with elevation of right hemidiaphragm and distention of small intestine. Given the suspicion of perforation of the intestinal wall, surgical intervention was decided, in which the patient was diagnosed with pneumatosis cystoides intestinalis. Conclusion: Pneumatosis cystoides intestinalis has an unknown etiology, although in a high percentage of patients it has been associated with obstructive pulmonary pathologies, connective tissue diseases, immunosuppression or gastrointestinal diseases. It is located more frequently in the colon and small intestine. It is diagnosed mainly through imaging tests (radiography or computed tomography). The treatment is conservative, performing surgical intervention if there is suspicion of intestinal necrosis; being difficult the differential diagnosis with a pneumoperitoneum by perforation of hollow viscera.

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