Asitle Müterafık Bir Pneumatosis Cystoides Intestini Vakası

Selahaddin Koloğlu

EN TR

Asitle Müterafık Bir Pneumatosis Cystoides Intestini Vakası

Abstract

This case report presents an unusual instance of pneumatosis cystoides intestini (PCI) associated with massive hemorrhagic ascites in a 34-year-old male. PCI is a rare condition involving gas-filled cysts in the intestinal wall, primarily in the small intestine or colon. While about 250 cases had been documented globally and only 6 in Türkiye (by 1957), this patient exhibited extensive cyst involvement from mid-jejunum to cecum and concurrent spontaneous ascitic accumulation—a combination not previously reported in the literature. Clinical symptoms included persistent epigastric pain and provoked vomiting, with radiological signs suggestive of pyloric stenosis. Laparotomy revealed hundreds of subserosal cysts, some gas-filled and others hemorrhagic, with thickened mesentery and enlarged lymph nodes. Pylorus appeared normal, suggesting functional spasm rather than true stenosis. Liver biopsy and intraparenchymal pressure tests ruled out cirrhosis or portal hypertension. The ascitic fluid showed hemorrhagic characteristics without infection or malignancy. The authors discuss leading theories on PCI pathogenesis—mechanical gas infiltration, bacterial fermentation, lymphatic obstruction—and conclude the most plausible mechanism is transudation from ruptured cysts or lymphatics. Postoperatively, both ascites and PCI symptoms resolved gradually without recurrence. The case emphasizes the need to consider PCI in differential diagnosis of unexplained ascites and suggests a conservative approach unless obstruction or perforation occurs.

Keywords

Pneumatosis cystoides, Intestinal gas cysts, Ascites, Hemorrhagic transudation

References

1 – Ackerman, W. – Zentralbl. Chir., 1950, 75: 1739
2 – Alford, J. E., et al. – A. J. of Surgery, 1956, 92: 648
3 – Ayral, N. – Ankara Tıp Fak. Mec., 1957, 1–4: 81
4 – Bang, A. – Nord. Med. Ark., 1876, 1: 16
5 – Burnett, W., Williams, A. W. – Brit. J. Surg., 1955, 43: 68
6 – Botsford, T. W., Krakower, C. – J. Pediat., 1938, 13: 185
7 – Cloquet, J. – Bull. Fac. Med., 1820, 8: 267
8 – Creese, P. J. – Gastroenterology, 1951, 19: 75
9 – Dupraz, A. – Arch. Med. Exp.
10 – Du Vernoi, G. J. – Acad. Sci. Petro., 1730–1731, 5: 213

11 – Ergüder, R., Ayral, N. – XI. Milli Türk Tıp Kongresi
12 – Finney, J. M. T. – JAMA, 1908, 51: 1291
13 – Fuchs, F. – Zentralbl. Chir., 1952, 77: 2266
14 – Hahn, E. – Deutsche med. Wochenschr., 1899, 25: 657
15 – Heydemann, A. – Arch. Wiss. Prak. Tierh., 1904, 25: 657
16 – Jackson, J. A. – Surg. Gynecol. Obstet., 1940, 71: 675
17 – Jaeger, E. – Arch. Wiss. Prakt. Tierh., 1906, 32: 425
18 – Jones, G. T. D. – Brit. J. Surg., 1948, 36: 49
19 – Koss, L. P. – Arch. Pathol., 1952, 53: 523
20 – Masson, P. – Ann. Anat. Pathol., 1925, 2: 541
21 – Mac Kenzie, E. P. – Pediatrics, 1951, 7: 537
22 – Matthews, F. J. C. – Brit. Med. J., 1954, 1: 851
23 – Moore, R. A. – Am. J. Dis. Child., 1929, 38: 818
24 – Nitch, C. A. R. – Brit. J. Surg., 1924, 11: 714
25 – Pamir, Z. H., et al. – İstanbul Klinik Dersleri, 1953, 45: 1
26 – Polonovski, C. – La Sem. des Hop., 1955, 26: 1505
27 – Pompili, M. – Minerva Chir., 1952, 7: 519
28 – Sommerville, P. – Lancet, 1951, 2: 1160
29 – Schorr, S., et al. – Arch. Int. Med., 1951, 88: 362
30 – Stiennon, O. A. – Am. Dis. Child., 1951, 81: 851
31 – Turnure, P. – Ann. Surg., 1913, 57: 811
32 – Tung, P. C., Ngal, S. K. – Chinese Med. J., 1933, 47: 1
33 – Urban, K. – Wien. Med. Wochenschr., 1910, 30: 1750
34 – Wright, A. W. – Am. J. Pathol., 1930, 6: 87
35 – Wainwright, J. – Zentralbl. Chir., 1950, 75: 1739

Details

Primary Language

English

Subjects

Internal Diseases

Journal Section

Case Report

Authors

Selahaddin Koloğlu This is me
Türkiye

Publication Date

December 31, 1959

Submission Date

July 1, 1959

Acceptance Date

December 30, 1959

Published in Issue

Year 1959 Volume: 12 Number: 3-4

IZ

https://izlik.org/JA69PE43FG

APA

Koloğlu, S. (1959). Asitle Müterafık Bir Pneumatosis Cystoides Intestini Vakası. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 12(3-4), 136-145. https://izlik.org/JA69PE43FG

AMA

1.Koloğlu S. Asitle Müterafık Bir Pneumatosis Cystoides Intestini Vakası. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 1959;12(3-4):136-145. https://izlik.org/JA69PE43FG

Chicago

Koloğlu, Selahaddin. 1959. “Asitle Müterafık Bir Pneumatosis Cystoides Intestini Vakası”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 12 (3-4): 136-45. https://izlik.org/JA69PE43FG.

EndNote

Koloğlu S (December 1, 1959) Asitle Müterafık Bir Pneumatosis Cystoides Intestini Vakası. Ankara Üniversitesi Tıp Fakültesi Mecmuası 12 3-4 136–145.

IEEE

[1]S. Koloğlu, “Asitle Müterafık Bir Pneumatosis Cystoides Intestini Vakası”, Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 12, no. 3-4, pp. 136–145, Dec. 1959, [Online]. Available: https://izlik.org/JA69PE43FG

ISNAD

Koloğlu, Selahaddin. “Asitle Müterafık Bir Pneumatosis Cystoides Intestini Vakası”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 12/3-4 (December 1, 1959): 136-145. https://izlik.org/JA69PE43FG.

JAMA

1.Koloğlu S. Asitle Müterafık Bir Pneumatosis Cystoides Intestini Vakası. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 1959;12:136–145.

MLA

Koloğlu, Selahaddin. “Asitle Müterafık Bir Pneumatosis Cystoides Intestini Vakası”. Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 12, no. 3-4, Dec. 1959, pp. 136-45, https://izlik.org/JA69PE43FG.

Vancouver

1.Selahaddin Koloğlu. Asitle Müterafık Bir Pneumatosis Cystoides Intestini Vakası. Ankara Üniversitesi Tıp Fakültesi Mecmuası [Internet]. 1959 Dec. 1;12(3-4):136-45. Available from: https://izlik.org/JA69PE43FG

Asitle Müterafık Bir Pneumatosis Cystoides Intestini Vakası

Asitle Müterafık Bir Pneumatosis Cystoides Intestini Vakası

Abstract

Keywords

Case of Pneumatosis Cystoides Intestini Associated with Ascites

Abstract

References

Details

Primary Language

Subjects

Journal Section

Authors

Publication Date

Submission Date

Acceptance Date

Published in Issue

IZ

Cite