A case of intussesception associated with pneumatosis cystoides intestinalis in ulcerative colotis

Kokubo, Kentaro; Hayashi, Masatoshi; Iida, Yutaka; Tochii, Koya; Arakawa, Yuki; Takada, Eri

doi:10.3919/jjsa.73.3197

Nihon Rinsho Geka Gakkai Zasshi (J Jpn Surg Assoc)

2012

DOI: 10.3919/jjsa.73.3197

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A case of intussesception associated with pneumatosis cystoides intestinalis in ulcerative colotis

Kentaro Kokubo¹,

Masatoshi Hayashi²,

Yutaka Iida³

et al.

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Cited by 3 publications

References 16 publications

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待機的に腹腔鏡下手術を行った肝弯曲部腸重積合併腸管嚢腫様気腫症の1例

KAI,

AOYAMA,

TAKAYAMA

et al. 2023

Nihon Rinsho Geka Gakkai Zasshi (J Jpn Surg Assoc)

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待機的に腹腔鏡下手術を行った肝弯曲部腸重積合併腸管嚢腫様気腫症の1例

KAI,

AOYAMA,

TAKAYAMA

et al. 2023

Nihon Rinsho Geka Gakkai Zasshi (J Jpn Surg Assoc)

View full text Add to dashboard Cite

腸重積をきたした17歳男性の腸管嚢腫様気腫症の1例

FUTAMURA,

SUZUKI,

NAGAI

et al. 2023

Nihon Rinsho Geka Gakkai Zasshi (J Jpn Surg Assoc)

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A 17-year-old man presented with intensifying abdominal pain which occurred on the day before. Abdominal CT findings showed intussusception caused by a mass lesion in the ileocecal region. Highpressureenemaperformedfordiagnosisandtherapywasunsuccessfulandwecouldnotreducetheintussusception.Therefore,emergencyoperationwasperformed.Surgicalfindingsconfirmedintussusception inthetransversecolon,whichwasarisingfromtheascendingcolon,cecumandileum.Aftermanualreductionoftheintussusception,wecouldnotcompletelyexcludeapossibilityofmalignanttumor.Accordingly,weperformedileocecalresection.Pathologicalexaminationrevealedthatthetumorwaspneumatosis cystoides intestinalis (PCI) . PCI is a comparatively rare disease that produces a large number of aerobiccystunderthesubmucosalorsubserosalstructuresofthedigestivetractwall.Fewstudieshave reportedintussusceptionwithPCI.Wereportthiscasewithsomeliteraturereview.

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腸重積を合併した腸管囊腫様気腫症の1例

Hongo

Yamamoto

Takano

et al. 2022

Jpn J Gastroenterol Surg, Nihon Shokaki Geka Gakkai zasshi

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A 28-year-old male visited our hospital complaining of mild abdominal pain and nausea since the previous day. CT revealed intussusception of the ascending colon into the transverse colon without findings of peritonitis or perforation. Emergency laparoscopic ileocecal resection was performed with the intent to release intussusception. However, reduction of intussusception under laparoscopy was an arduous procedure. During the operation, numerous soft polypoid masses in the colonic submucosa were observed, and a diagnosis of pneumatosis cystoides intestinalis (PCI) was made. The affected portion of the colon was removed during ileocecal resection. Analysis of the resected specimen revealed PCI as the possible cause of intussusception. The postoperative course was uneventful and the patient was discharged on the 7th postoperative day. If diagnosed early based on typical radiographic (CT) features, PCI can be conservatively managed with treatment options including oxygen therapy. For cases requiring surgical treatment, laparoscopic surgery is recommended since this allows radical cure with minimal invasiveness, which permits early rehabilitation and return to normal life.

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A case of intussesception associated with pneumatosis cystoides intestinalis in ulcerative colotis

Cited by 3 publications

References 16 publications

待機的に腹腔鏡下手術を行った肝弯曲部腸重積合併腸管嚢腫様気腫症の1例

待機的に腹腔鏡下手術を行った肝弯曲部腸重積合併腸管嚢腫様気腫症の1例

腸重積をきたした17歳男性の腸管嚢腫様気腫症の1例

腸重積を合併した腸管囊腫様気腫症の1例

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