Pneumatosis cystoides intestinalis: A single center experience

Arıkanoğlu, Zülfü; Aygen, Erhan; Camcı, Celaletdin; Akbulut, Sami; Başbuğ, Murat; Doğru, Osman; Çetinkaya, Ziya; Kırkıl, Cüneyt

doi:10.3748/wjg.v18.i5.453

Cited by 39 publications

(56 citation statements)

References 22 publications

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“…Pneumatosis cystoides intestinalis diagnosis was first established by Hahn in 1899 and later its associated radiological findings were first described by Eaumann Schender in 1939. 3,4 Pneumatosis cystoides intestinalis was previously reported as occurring most commonly in the small intestine; however, recent studies have shown that the colon is affected more frequently (46 -62%) versus the small intestine (15 -26%) respectively with only 7% of cases affecting both. 5,6 Symptoms most commonly include abdominal pain, constipation and bloating as well as diarrhoea, mucous discharge and rectal bleeding.…”

Section: Pathological Discussionmentioning

confidence: 98%

A Rare Case of Pneumatosis Cystoides Intestinalis After Appendicectomy

Edward¹,

Divyashree²,

Sangireddy³

et al. 2017

jemds

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Section: Pathological Discussionmentioning

confidence: 98%

A Rare Case of Pneumatosis Cystoides Intestinalis After Appendicectomy

Edward¹,

Divyashree²,

Sangireddy³

et al. 2017

jemds

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“…The true incidence of PCC in general population remains unknown, but intestinal pneumatosis is found in 0.03-0.2% of autopsies, predominantly in males (3). PCC may be idiopathic (15%) or it accompanies various clinical conditions of digestive system (peptic ulcer, pyloric stenosis, Crohn's disease, appendicitis, necrotizing enterocolitis, bacterascites) or respiratory (chronic obstructive pulmonary disease, cystic fibrosis), autoimmune (dermatomyositis, scleroderma), inflammatory, infectious (Clostridium difficile, HIV) diseases or trauma (4,5). Development of PCC is rarely attributed to pharmacotherapy with different agents, including α-glucosidase inhibitors (6).…”

Section: Discussionmentioning

confidence: 99%

Segmental pneumatosis cystoides coli: Computed tomography-facilitated diagnosis

Ksiądzyna

Peña

2015

Rev Esp Enferm Dig

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Background: Intestinal pneumatosis is a rare entity of unclear etiopathogenesis characterized by the presence of gaseous cystic or linear collections within the intestinal wall. Intestinal pneumatosis may be primary and idiopathic in origin or, more frequently, it accompanies various clinical conditions. Rarely, the development of intestinal pneumatosis is attributed to the pharmacotherapy with different drugs.Case report: This is a case report of cystic pneumatosis limited to the large intestine with predominant clinical presentation of chronic watery diarrhea in a 64-year-old man suffering from diabetes mellitus treated with metformin and acarbose. The patient had been referred to the outpatient gastroenterology clinic for further investigation of numerous polyp-like lesions found on colonoscopy. There was no history of cigarette smoking, drug abuse or extraintestinal complaints. The patient was in a good general condition and his laboratory tests were normal. No relevant abnormalities were found on chest X-ray, esophagogastroduodenoscopy or abdominal ultrasound, but computed tomography showed intramural gas-filled bubbles in the cecum and splenic flexure without signs of perforation or any other significant pathology in the abdominal cavity. The final diagnosis of pneumatosis cystoides coli (PCC), possibly related to treatment with acarbose, was established. On a follow-up visit after discontinuation of acarbose the patient reported no complaints and remained asymptomatic for the next 12 months.Discussion: To conclude, drug-related PCC should be considered in a differential diagnosis of gastrointestinal symptoms and/or polyp-like lesions disclosed on colonoscopy in diabetic patients treated with acarbose.

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“…3,4 The secondary PI was described by Koss in 1952 after analyzing 213 pathological specimens. 5 We present a case of pneumatosis intestinalis of small intestine with acute abdomen and pneumo-peritoneum in an adult patient admitted in emergency department.…”

Section: Introductionmentioning

confidence: 98%

“…3,4 PI can be classified as primary (idiopathic) and secondary based on the absence or presence of etiological factors. [3][4][5] Primary PI accounts for 15% of cases and commonly involves the sub-mucosal layer of colon, whereas secondary PI accounts for 85% of cases which involves the sub-serosal layer of small intestines, and it is seen in association with necrotic, non-necrotic gastro-intestinal or pulmonary diseases. 3,4 The secondary PI was described by Koss in 1952 after analyzing 213 pathological specimens.…”

Section: Introductionmentioning

confidence: 99%