Case Report
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Nadir Bir Akut Karın Nedeni: Pnömatozis Sistoides İntestinalis

Year 2022, Volume: 12 Issue: 1, 90 - 92, 01.04.2022

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.

References

  • 1. Morris MS, Gee AC, Cho SD, Limbaugh K, Underwood S, Ham B, et al. Management and outcome of pneumatosis intestinalis. Am J Surg. 2008;195(5):679–83.
  • 2. Çantay H. Gis perforasyonunu taklit eden pnömatozis intestinalis olgusu. In: Anılır, E. et al. Genel Cerrahide Nadir Görülen Acil ve Elektif vakalar. Ankara: Akademisyen Kitapevi; 2020:201–204.
  • 3. İflazoğlu N, Gökçe ON, Kıvrak MM, Kocamer B. Spontaneous idiopathic pneumoperitoneum with acute abdomen. Turkish J Surg. 2015;31(2):110.
  • 4. Ho LM, Paulson EK, Thompson WM. Pneumatosis intestinalis in the adult: benign to life-threatening causes. Am J Roentgenol. 2007;188(6):1604–13.
  • 5. Ribolla M, Conti L, Baldini E, Palmieri G, Grassi C, Banchini F, et al. Asymptomatic pneumoperitoneum in pneumatosis coli: a misleading operative indication. Int J Surg Case Rep. 2020;69:92–5.
  • 6. Kim DJ, Choi YJ, Yoo YS. Pneumatosis Intestinalis Presenting as Small Bowel Obstruction without Bowel Ischemia after Mechanical Ventilation. Acute Crit Care. 2019;34(1):81.
  • 7. Knechtle SJ, Davidoff AM, Rice RP. Pneumatosis intestinalis. Surgical management and clinical outcome. Ann Surg. 1990;212(2):160.
  • 8. Zhang H, Jun SL, Brennan TV. Pneumatosis intestinalis: not always a surgical indication. Case Rep Surg. 2012;2012.
  • 9. Park JY, Yoon JY, Min SY, Hong SK, Park JS, Jang EJ, et al. A case of recurrent pneumatosis cystoides intestinalis associated with recurrent pneumoperitoneum. Korean J Gastroenterol. 2007;50(3):188–92.

A Rare Cause of Acute Abdomen: Pneumatosis Cystoides Intestinalis

Year 2022, Volume: 12 Issue: 1, 90 - 92, 01.04.2022

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.

References

  • 1. Morris MS, Gee AC, Cho SD, Limbaugh K, Underwood S, Ham B, et al. Management and outcome of pneumatosis intestinalis. Am J Surg. 2008;195(5):679–83.
  • 2. Çantay H. Gis perforasyonunu taklit eden pnömatozis intestinalis olgusu. In: Anılır, E. et al. Genel Cerrahide Nadir Görülen Acil ve Elektif vakalar. Ankara: Akademisyen Kitapevi; 2020:201–204.
  • 3. İflazoğlu N, Gökçe ON, Kıvrak MM, Kocamer B. Spontaneous idiopathic pneumoperitoneum with acute abdomen. Turkish J Surg. 2015;31(2):110.
  • 4. Ho LM, Paulson EK, Thompson WM. Pneumatosis intestinalis in the adult: benign to life-threatening causes. Am J Roentgenol. 2007;188(6):1604–13.
  • 5. Ribolla M, Conti L, Baldini E, Palmieri G, Grassi C, Banchini F, et al. Asymptomatic pneumoperitoneum in pneumatosis coli: a misleading operative indication. Int J Surg Case Rep. 2020;69:92–5.
  • 6. Kim DJ, Choi YJ, Yoo YS. Pneumatosis Intestinalis Presenting as Small Bowel Obstruction without Bowel Ischemia after Mechanical Ventilation. Acute Crit Care. 2019;34(1):81.
  • 7. Knechtle SJ, Davidoff AM, Rice RP. Pneumatosis intestinalis. Surgical management and clinical outcome. Ann Surg. 1990;212(2):160.
  • 8. Zhang H, Jun SL, Brennan TV. Pneumatosis intestinalis: not always a surgical indication. Case Rep Surg. 2012;2012.
  • 9. Park JY, Yoon JY, Min SY, Hong SK, Park JS, Jang EJ, et al. A case of recurrent pneumatosis cystoides intestinalis associated with recurrent pneumoperitoneum. Korean J Gastroenterol. 2007;50(3):188–92.
There are 9 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Case Report
Authors

Tolga Kalaycı This is me

Murat Kartal This is me

Publication Date April 1, 2022
Published in Issue Year 2022 Volume: 12 Issue: 1

Cite

APA Kalaycı, T., & Kartal, M. (2022). A Rare Cause of Acute Abdomen: Pneumatosis Cystoides Intestinalis. Kafkas Journal of Medical Sciences, 12(1), 90-92.
AMA Kalaycı T, Kartal M. A Rare Cause of Acute Abdomen: Pneumatosis Cystoides Intestinalis. KAFKAS TIP BİL DERG. April 2022;12(1):90-92.
Chicago Kalaycı, Tolga, and Murat Kartal. “A Rare Cause of Acute Abdomen: Pneumatosis Cystoides Intestinalis”. Kafkas Journal of Medical Sciences 12, no. 1 (April 2022): 90-92.
EndNote Kalaycı T, Kartal M (April 1, 2022) A Rare Cause of Acute Abdomen: Pneumatosis Cystoides Intestinalis. Kafkas Journal of Medical Sciences 12 1 90–92.
IEEE T. Kalaycı and M. Kartal, “A Rare Cause of Acute Abdomen: Pneumatosis Cystoides Intestinalis”, KAFKAS TIP BİL DERG, vol. 12, no. 1, pp. 90–92, 2022.
ISNAD Kalaycı, Tolga - Kartal, Murat. “A Rare Cause of Acute Abdomen: Pneumatosis Cystoides Intestinalis”. Kafkas Journal of Medical Sciences 12/1 (April 2022), 90-92.
JAMA Kalaycı T, Kartal M. A Rare Cause of Acute Abdomen: Pneumatosis Cystoides Intestinalis. KAFKAS TIP BİL DERG. 2022;12:90–92.
MLA Kalaycı, Tolga and Murat Kartal. “A Rare Cause of Acute Abdomen: Pneumatosis Cystoides Intestinalis”. Kafkas Journal of Medical Sciences, vol. 12, no. 1, 2022, pp. 90-92.
Vancouver Kalaycı T, Kartal M. A Rare Cause of Acute Abdomen: Pneumatosis Cystoides Intestinalis. KAFKAS TIP BİL DERG. 2022;12(1):90-2.