Pneumatosis intestinalis as a presentation of Crohn’s disease: a case report

Rubio, Rómulo Vargas; Rengifo, Janeth Bejarano; Silva, Esteban Ardila

doi:10.47892/rgp.2020.402.1090

Cited by 4 publications

(9 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There are four main theories for its pathogenesis. The bacterial hypothesis: presence of aerogenic bacteria inside the intestinal wall that produces gas; the mechanical hypothesis: increased intraluminal pressure with epithelial damage that allows passage of gas from the lumen to the intestinal wall; the biochemical hypothesis: increased hydrogen gas production from carbohydrate fermentation exerts pressure within the intestinal lumen and is forced through the mucosa; the pulmonary hypothesis: pulmonary disease such as chronic obstructive pulmonary disease (COPD) and interstitial pneumonia may cause alveolar rupture with the release of gas that follows the path of the vessels reaching the mesentery [ 2 , 3 , 5–7 , 12 , 13 ]. Coughing causes abrupt changes in intra-abdominal pressure and may be a contributory factor [ 2 , 3 ].…”

Section: Discussionmentioning

confidence: 99%

“…The colon is affected in 36–78% and small intestine in 20–51.6% of cases and both are affected in 2–22% of cases [ 2 , 7 , 11 , 13 ]. The presentation can be chronic or acute and consists of abdominal pain, abdominal distension, nausea, vomiting, diarrhea, constipation, anorexia, weight loss and flatulence [ 4 , 7 , 11 ].…”

Section: Discussionmentioning

confidence: 99%

“…Endoscopic exams evaluate the presence of submucosal cysts and rule out the presence of associated pathologies such as lymphoma, carcinoma, inflammatory disease and polyposis [ 1 , 13 ]. In the anatomopathological examination of the cyst wall, when resected, a chronic inflammatory process is usually found [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Pneumatosis cystoides intestinalis with pneumoperitoneum in an 87-years-old male patient: a case report

Piltcher-da-Silva

Sasaki

Zangari

et al. 2022

Journal of Surgical Case Reports

View full text Add to dashboard Cite

Pneumatosis cystoides intestinalis (PCI) is a rare condition, characterized by gas-filled cysts in the intestinal wall. The mesentery and intra-abdominal ligaments can be affected. PCI is classified as primary or secondary and associated with multiple predisposing factors. An asymptomatic 87-year-old man underwent an abdominal tomography for follow-up of bladder carcinoma. The examination revealed intestinal and mesenteric pneumatosis associated with pneumoperitoneum. At laparoscopy, intestinal and mesenteric pneumatosis without intestinal infarction was identified. He was discharged on the fifth postoperative day. PCI is a benign condition that can be confused with mesenteric ischemia. Treatment is conservative, with periodic clinical evaluations. Surgical procedure is unnecessary for its diagnosis or management.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Pneumatosis cystoides intestinalis with pneumoperitoneum in an 87-years-old male patient: a case report

Piltcher-da-Silva

Sasaki

Zangari

et al. 2022

Journal of Surgical Case Reports

View full text Add to dashboard Cite

show abstract

“…The colon is affected in 36%-78% of cases, whereas the small intestine is affected in 20%-51.6% of cases. Both organs may be affected in 2%-22% of cases, but the most affected organ has not yet been determined, and there is no consensus among case series 2,7,24,27 . The presentation may be clinically chronic or acute, consisting of abdominal pain, abdominal distention, nausea, vomiting, diarrhea, constipation, anorexia, weight loss, and flatulence 4,7,13,18,24,27 .…”

Section: Discussionmentioning

confidence: 99%

“…Both organs may be affected in 2%-22% of cases, but the most affected organ has not yet been determined, and there is no consensus among case series 2,7,24,27 . The presentation may be clinically chronic or acute, consisting of abdominal pain, abdominal distention, nausea, vomiting, diarrhea, constipation, anorexia, weight loss, and flatulence 4,7,13,18,24,27 . The diagnosis may be achieved by complementary tests, especially in asymptomatic patients or those with mild and recurrent symptoms [38][39][40] .…”

Section: Discussionmentioning

confidence: 99%

Management of pneumatosis cystoides intestinalis with pneumoperitoneum: 5-years systematic review

Piltcher-da-Silva¹,

Sasaki²,

Gallotti³

et al. 2022

CBR

View full text Add to dashboard Cite

Introduction: Pneumatosis cystoides intestinalis (PCI) is a rare condition characterized by gas-filled cysts in the intestinal wall. Although rare, it may also involve other regions, such as the mesentery. PCI is classified as primary or secondary and is associated with multiple predisposing factors. It may be associated with either a benign condition or a potentially fatal condition, such as mesenteric ischemia. The objective of this study was to review the medical literature on the rare benign presentations of PCI, excluding cases associated with intestinal ischemia. Methods:We conducted a systematic literature review according to the PRISMA statement. We searched PubMed and LILACS databases for articles published between January 2015 and December 2020 using the following Medical Subject Headings: "pneumatosis cystoides intestinalis" and "pneumoperitoneum," "pneumatosis intestinalis," and "pneumoperitoneum" or "mesenteric pneumatosis." Results:We included 51 articles comprising 58 patients with PCI and pneumoperitoneum. Most patients were men, and mean patient age was 64.9 years. We identified an idiopathic etiology in 29.31% of cases, and the most common predisposing factor was immune dysfunction (29.31%). A total of 24.13% of patients were asymptomatic. The most commons symptoms were abdominal pain (43.10%), nausea and vomiting (41.37%), and abdominal distention (37.93%). Diagnostic surgery was conducted in 26 patients (44.82%). Only 1 patient underwent surgical treatment.Conclusions: PCI is a clinical condition that may have a benign etiology and not require surgery. Treatment of the benign etiology is conservative. Thus, life-threatening conditions should be excluded in all cases.

show abstract

Intestinal pneumatosis: a problem of misdiagnosis

Gaguancela-Sabando,

Dávalos-Barzola

2023

Salud, Ciencia y Tecnología

View full text Add to dashboard Cite

Introducción: La neumatosis intestinal, patología en pared intestinal asociada a distintas condiciones clínicas subyacentes, por acumulación de gases que generan enfermedades inflamatorias, frecuentemente relacionada con estado de emergencia del paciente, requiriendo diagnóstico rápido. Objetivo: Describir los aspectos relevantes de la Neumatosis Intestinal como problema derivado de un mal diagnóstico, a fines de reducir el índice de morbimortalidad en pacientes con patología aguda. Métodos: Artículo de revisión bibliográfica, apoyado en metodología documental, mediante compilación de información en bases de datos digitales: Pubmed, SciELO, Science Direct y Google Académico, recurriendo a descriptores en Ciencias de la Salud (DeCS), con criterio de inclusión de artículos publicados entre los años 2017-2022, en inglés y español. Resultados: Apuntan hacia la manifestación de la patogenia, aún por determinarse con exactitud, dadas las múltiples causas y patologías relacionadas que pueden complicar el hallazgo a tiempo, convirtiéndose en reto médico diario con pacientes inclusive asintomáticos. Igualmente, la realización de valoraciones invasivas puede comprometer la exploración intraperitoneal en determinados casos, siendo necesario complementar con otros métodos para obtener mejor diagnóstico. Conclusiones: La realización de imagenología se considera idónea para verificar un diagnóstico de IP, específicamente las tomografías computarizadas, en virtud que pueden demostrar los detalles internos en la pared del intestino, pudiendo evidenciar tres patrones de neumatosis, los cuales son reseñados por la literatura a través de burbujas cistoides, patrones lineales y circulares, siendo vinculantes para el adecuado diagnóstico a tiempo que coadyuven a disminuir las conmorbilidades y evitar los índices de morbimortalidad actuales.

show abstract

Pneumatosis intestinalis as a presentation of Crohn’s disease: a case report

Cited by 4 publications

References 12 publications

Pneumatosis cystoides intestinalis with pneumoperitoneum in an 87-years-old male patient: a case report

Pneumatosis cystoides intestinalis with pneumoperitoneum in an 87-years-old male patient: a case report

Management of pneumatosis cystoides intestinalis with pneumoperitoneum: 5-years systematic review

Intestinal pneumatosis: a problem of misdiagnosis

Contact Info

Product

Resources

About