Pneumatosis cystoides intestinalis coli

Incidental gastrointestinal findings are commonly detected on MDCT exams performed for various medical indications. This review describes the radiological MDCT spectrum of appearances already present in the past literature and in today's experience of several gastrointestinal acute conditions such as abdominal hernia, giant colon diverticulum, GIST, intestinal pneumatosis, colon ischemia, cold intussusception, gallstone ileus, and foreign bodies which can require medical and surgical intervention or clinical follow-up. The clinical presentation of this illness is frequently nonspecific: abdominal pain, distension, nausea, fever, rectal bleeding, vomiting, constipation, or a palpable mass, depending on the disease. A proper differential diagnosis is essential in the assessment of treatment and in this case MDCT exam plays a central rule. We wish that this article will familiarize the radiologist in the diagnosis of this kind of incidental MDCT findings for better orientation of the therapy.

show abstract

“…Usually, this form has no associated symptoms, and it is often called pneumatosis cystoides intestinalis [24]. …”

Section: Intestinal Pneumatosismentioning

confidence: 99%

Abdominal Hernias, Giant Colon Diverticulum, GIST, Intestinal Pneumatosis, Colon Ischemia, Cold Intussusception, Gallstone Ileus, and Foreign Bodies: Our Experience and Literature Review of Incidental Gastrointestinal MDCT Findings

Grezia¹,

Gatta

Rella

et al. 2017

BioMed Research International

View full text Add to dashboard Cite

show abstract

“…Asymptomatic pneumoperitoneum and pneumoretroperitoneum-complicating PCI can pose a differential diagnostic challenge especially versus perforation of hollow viscus [49][50][51]. Gas in the portal venous system can be mentioned in severe cases.…”

Section: A Plain Abdominal Radiographmentioning

confidence: 99%

“…Rupture of subserosal pseudocysts can lead, in about 30% of cases, to pneumoperitoneum without signs of peritonitis or to pneumoretroperitoneum [49][50][51]. Gas from the bowel wall can penetrate to the portal venous system and is traditionally considered to be an ominous sign most often associated with intestinal ischemia [7,40,59].…”

Section: Complications and Outcomementioning

confidence: 99%

Pneumatosis cystoides intestinalis

et al. 2011

View full text Add to dashboard Cite

La pneumatose kystique est un état gastro-intestinal rare caractérisé par la présence de gaz dans la paroi intestinale, principalement dans celle de l'intestin grêle ou du côlon. Ce phénomène apparaît sous trois formes différentes : 1) la pneumatose kystique primaire ; 2) la forme secondaire qui accompagne un grand nombre de maladies gastrointestinales et systémiques ; 3) la pneumatose compliquant l'ischémie intestinale. La pathogénie n'est pas clairement connue, elle est très probablement multifactorielle ; la surproduction d'hydrogène est la théorie la plus probable expliquant la formation de la PKI. La Pneumatose kystique intestinale (PKI) est fréquemment découverte de manière fortuite au cours d'une coloscopie -la suspicion endoscopique de la PKI, basée sur un collapse au cours de la ponction, peut être soutenue par des prélèvements cytologiques typiques. La tomodensitométrie est la technique de radiodiagnostic la plus sensible qui peut également détecter une maladie sous-jacente. L'oxygénothérapie et les antibiotiques sont essentiels dans la prise en charge conservatrice et doivent être accompagnés d'une thérapie de la maladie sous-jacente. Les candidats à une intervention chirurgicale ou radiointerventionnelle se recrutent principalement dans la troisième forme de PKI, au cours des ischémies mésentériques aiguës. To cite this journal: Acta Endosc. 41 (2011). Mots clés Pneumatose kystique intestinale · Pneumopéritoine · Hydrogène · Ischémie intestinaleAbstract Pneumatosis cystoides is a rare gastrointestinal condition characterised by the presence of gas in the wall of the gastrointestinal tract, predominantly the small and large intestine. This phenomenon occurs in three forms: 1) primary pneumatosis cystoides, 2) a secondary form, which accompanies a wide range of gastrointestinal and systemic diseases, and 3) pneumatosis complicating intestinal ischaemia. The pathogenesis is not clearly known and is most likely multifactorial; hydrogen overproduction represents what is probably the most consistent theory of PCI formation. PCI is often an incidental finding during colonoscopy -endoscopic suspicion on PCI based on collapse during the puncture can be supported by the typical cytological findings. Computerised tomography is the most sensitive radiodiagnostic method, which can also detect possible underlying disease. Oxygen inhalation and antibiotics is the mainstay in conservative therapy, together with therapy of the underlying disease. Candidates for surgical and/or radiological intervention are mainly recruited from the third group of PCI accompanying abdominal catastrophe such as intestinal ischaemia. Pour citer cette revue : Acta Endosc. 41 (2011).

show abstract

“…In the primary idiopathic form, multiple thin-walled cysts develop in the submucosa or subserosa of the gut. Usually, this form has no associated symptoms, and the cysts may be found incidentally through radiography or endoscopy [2]. The secondary form (85% of cases) is associated with obstructive pulmonary disease, as well as with obstructive and necrotic gastrointestinal disease [1,2].…”

Section: Introductionmentioning

confidence: 99%

Pneumatosis intestinalis with complete remission: a case report

Saber¹

2009

Cases J

View full text Add to dashboard Cite

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 include obstruction, intussusception, volvulus, haemorrhage and intestinal perforation.

show abstract

Pneumatosis cystoides intestinalis coli

Cited by 17 publications

References 0 publications

Abdominal Hernias, Giant Colon Diverticulum, GIST, Intestinal Pneumatosis, Colon Ischemia, Cold Intussusception, Gallstone Ileus, and Foreign Bodies: Our Experience and Literature Review of Incidental Gastrointestinal MDCT Findings

Abdominal Hernias, Giant Colon Diverticulum, GIST, Intestinal Pneumatosis, Colon Ischemia, Cold Intussusception, Gallstone Ileus, and Foreign Bodies: Our Experience and Literature Review of Incidental Gastrointestinal MDCT Findings

Pneumatosis cystoides intestinalis

Pneumatosis intestinalis with complete remission: a case report

Contact Info

Product

Resources

About