Nadir Bir Akut Karın Nedeni: Pnömatozis Sistoides İntestinalis

Abstract

Pnömatozis sistoides intestinalis (PSİ), ince bağırsakta veya kolon duvarında gaz varlığı olarak tanımlanan nadir bir hastalıktır. 55 yaşında bir kadın hasta iki gündür süren karın ağrısı şikâyeti ile acil servise başvurdu. Abdominopelvik bilgisayarlı tomografi taramasında, PSİ ve periton içi serbest hava görüldü. Hastaya acil laparotomi yapıldı. Eksplorasyonda perforasyon ve iskemik barsak segmenti yoktu. Sadece ince bağırsak kıvrımlarının duvarında hava kabarcıkları görüldü. Hastaya herhangi bir cerrahi işlem düşünülmedi. Hasta yedinci günde komplikasyonsuz olarak taburcu edildi.

Keywords

• akut abdomen
• pnömatozis sistoides intestinalis
• laparotomi

A Rare Cause of Acute Abdomen: Pneumatosis Cystoides Intestinalis

Abstract

Pneumatosis cystoides intestinalis (PCI) is a rare disease defined as the presence of gas in the small intestine or colon wall. A 55-yearold female patient was admitted to the emergency service with a complaint of abdominal pain lasting for two days. PCI and intraperitoneal free air were seen on the abdominopelvic computed tomography scan. The patient underwent an emergency laparotomy. There was no perforation and ischemic bowel segment on exploration. Air bubbles were seen only in the wall of the small bowel loops. No surgical procedure was considered for the patient. The patient was discharged on the seventh day without complication.

Keywords

• acute abdomen
• pneumatosis cystoides intestinalis
• laparotomy

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