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Pneumatosis cystoides intestinalis: a case report and review of the literature

Year 2018, Volume: 10 Issue: 2, 73 - 75, 01.08.2018

Abstract

Pneumatosis cystoides intestinalis and portal venous gas which is a serious underlying abdominal disease in some cases, is a radiological finding requiring urgent surgery. Many authors suggested various factors in the etiology and pathogenesis. Portal venous gas is more important because it is usually related with intestinal ischemia or necrosis. But prognosis is affected more by the severity of the underlying disease than by hepatic portal venous gas or pneumatosis intestinalis. Intestinal ischemia or necrosis is the first reason, urgent surgery is crucial to improve the prognosis of the patient. In this case we report mesenteric ischemia which is presenting with portal venous gas and pneumatosis intestinalis.

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. Wayne E, Ough M, Wu A, Liao J, Andresen K, Kuehn D, et al. Management algorithm for pneumatosis intestinalis and portal venous gas: treatment and outcome of 88 consecutive cases. J Gastrointest Surg 2010; 14(3): 437-48.
  • 3. Hussain A, Mahmood H, El-Hasani S. Portal vein gas in emergency surgery. World J Emerg Surg 2008; 3(1): 21.
  • 4. Bolukbas F. Bolukbas C. Pnomatozis sistoides intestinalis. Güncel gastroenterol derg 2004; 8: 182-5.
  • 5. Hanna P, Kassir R, Tarek D, Bassile B, Saint-Eve P, Elias B. Pneumatosis cystoidis intestinalis presenting as bowel perforation, a rare entity. Int J Surg Case Rep 2016; 20: 7-9.
  • 6. Wiesner W, Mortelé KJ, Glickman JN, Ji H, Ros PR. Pneumatosis intestinalis and portomesenteric venous gas in intestinal ischemia: correlation of CT findings with severity of ischemia and clinical outcome. Am J Roentgenol 2001; 177(6): 1319-23.
  • 7. Vogel Y, Buchner NJ, Szpakowski M, Tannapfel A, Henning BF. Pneumatosis cystoides intestinalis of the ascending colon related to acarbose treatment: a case report. J Med Case Rep 2009; 3(1): 9216.
  • 8. Polat C, Tokyol Ç, Sen S, Yazıcıoğlu B, Türel S. Asit, kronik duodenal ülser ve pilor stenozu ile birlikte pnömatozis sistoides intestinalis. Turk J Surg 2008; 24(4): 205-7.
  • 9. Muyembe V. Pneumatosis cystoides intestinalis associated with ascites and pyloric stenosis secondary to a chronic duodenal ulcer: case report. East Afr Med J 2002; 79(12): 667-8.
  • 10. Arikanoglu Z, Aygen E, Camci C, Akbulut S, Basbug M, Dogru O, et al. Pneumatosis cystoides intestinalis: a single center experience. World J Gastroenterol 2012; 18(5): 453.

Pnömatozis sistoides intestinalis: olgu sunumu ve literatürün gözden geçirilmesi

Year 2018, Volume: 10 Issue: 2, 73 - 75, 01.08.2018

Abstract

Pnömatozis sistoides intestinalis ve portal venöz hava altta yatan hastalıkla ilişki olarak bazı vakalarda acil cerrahi gerekliliğinin radyolojik bir işaretidir. Etiyolojisinde ve patogenezinde birçok faktör öne sürülmüştür. Portal venöz hava, klinik olarak daha önemlidir çünkü sıklıkla bağırsak iskemisi veya nekroz ile ilişkilidir ve kötü bir prognozu temsil eder. Bununla birlikte, prognoz, portal venöz hava veya pnömatozis intestinalisin değil, altta yatan hastalığın şiddetinden daha fazla etkilenir. Bağırsak iskemisi veya nekroz birincil neden olduğunda, acil ameliyat hastanın prognozunu iyileştirmek için çok önemlidir. Biz burada portal venöz hava ve pnömatozis sistoides intestinalis ile gelişen bir mezenterik iskemi olgusunu sunuyoruz.

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. Wayne E, Ough M, Wu A, Liao J, Andresen K, Kuehn D, et al. Management algorithm for pneumatosis intestinalis and portal venous gas: treatment and outcome of 88 consecutive cases. J Gastrointest Surg 2010; 14(3): 437-48.
  • 3. Hussain A, Mahmood H, El-Hasani S. Portal vein gas in emergency surgery. World J Emerg Surg 2008; 3(1): 21.
  • 4. Bolukbas F. Bolukbas C. Pnomatozis sistoides intestinalis. Güncel gastroenterol derg 2004; 8: 182-5.
  • 5. Hanna P, Kassir R, Tarek D, Bassile B, Saint-Eve P, Elias B. Pneumatosis cystoidis intestinalis presenting as bowel perforation, a rare entity. Int J Surg Case Rep 2016; 20: 7-9.
  • 6. Wiesner W, Mortelé KJ, Glickman JN, Ji H, Ros PR. Pneumatosis intestinalis and portomesenteric venous gas in intestinal ischemia: correlation of CT findings with severity of ischemia and clinical outcome. Am J Roentgenol 2001; 177(6): 1319-23.
  • 7. Vogel Y, Buchner NJ, Szpakowski M, Tannapfel A, Henning BF. Pneumatosis cystoides intestinalis of the ascending colon related to acarbose treatment: a case report. J Med Case Rep 2009; 3(1): 9216.
  • 8. Polat C, Tokyol Ç, Sen S, Yazıcıoğlu B, Türel S. Asit, kronik duodenal ülser ve pilor stenozu ile birlikte pnömatozis sistoides intestinalis. Turk J Surg 2008; 24(4): 205-7.
  • 9. Muyembe V. Pneumatosis cystoides intestinalis associated with ascites and pyloric stenosis secondary to a chronic duodenal ulcer: case report. East Afr Med J 2002; 79(12): 667-8.
  • 10. Arikanoglu Z, Aygen E, Camci C, Akbulut S, Basbug M, Dogru O, et al. Pneumatosis cystoides intestinalis: a single center experience. World J Gastroenterol 2012; 18(5): 453.
There are 10 citations in total.

Details

Primary Language Turkish
Journal Section Case Report
Authors

Cihan Bedel This is me

Sefa Türkoğlu This is me

Göker Coşkun This is me

Publication Date August 1, 2018
Published in Issue Year 2018 Volume: 10 Issue: 2

Cite

Vancouver Bedel C, Türkoğlu S, Coşkun G. Pnömatozis sistoides intestinalis: olgu sunumu ve literatürün gözden geçirilmesi. Maltepe tıp derg. 2018;10(2):73-5.