Colonic submucosal tumors: comparison of endoscopic US and target air-enema CT with barium enema study and colonoscopy.

Kono, Kenji; Ueyama, Toshihiko; Iwashita, Ikuko; Utsunomiya, Takeshi; Honda, Hiroshi; Onitsuka, H; Haraguchi, Yukiaki; Kojima, Naoko; Takano, H.; Masuda, Kouji

doi:10.1148/radiology.192.3.8058936

Cited by 28 publications

(15 citation statements)

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“…123 In patients with subtle examples of PI that may be difficult to diagnose, "target" air-enema CT has been advocated. 125,126 Endoscopy Macroscopic elevations of the mucosa make PI difficult to distinguish from other lesions evaluated by endoscopy. 103 Puncture and complete deflation have been advocated to confirm the diagnosis.…”

Section: Computed Tomographymentioning

confidence: 99%

The Spectrum of Pneumatosis Intestinalis

Peter¹

2003

Arch Surg

363

362

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A review of the spectrum of illness associated with pneumatosis intestinalis enables us to identify the probable causes of, the best diagnostic approaches to, and the most appropriate treatments for this condition. Data Sources: A review of all published material in the English language regarding pneumatosis intestinalis was conducted using the PubMed and MEDLINE databases. Any relevant work referenced in those articles and not previously found or published before the limit of the search engine was also retrieved and reviewed.Study Selection: There were no exclusion criteria for published information relevant to the topic. All of the studies cited in the present review make a point that contributes to the portrayal of this condition. In circumstances in which the same point was made in several different studies, not all were cited herein.Data Extraction: All published material on pneumatosis intestinalis was considered. Information was extracted for preferentially selected ideas and theories supported in multiple studies.Data Synthesis: The collected information was organized by theory.Conclusions: Mucosal integrity, intraluminal pressure, bacterial flora, and intraluminal gas all interact in the formation of pneumatosis intestinalis. Radiography and computed tomography are the best diagnostic tests. Nonoperative management should be pursued in most patients, and underlying illnesses should be treated. When acute complications appear, such as perforation, peritonitis, and necrotic bowel, surgery is indicated.

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Section: Computed Tomographymentioning

confidence: 99%

The Spectrum of Pneumatosis Intestinalis

Peter¹

2003

Arch Surg

363

362

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“…Carcinoid tumours and metastatic lesions can also manifest as submucosal masses. Barium enema, colonoscopy, abdomen CT, endoscopic ultrasonography are useful in its diagnosis 6 – 8. Endoscopic ultrasound helps in differentiating among these lesions by determining their layer of origin when they are accessible.…”

Section: Discussionmentioning

confidence: 99%

Caecal lymphangioma: a rare cause of gastrointestinal blood loss

2013

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SUMMARYLymphangioma is the malformation of the lymphatic system. Lymphangioma is a benign tumour and most colonic lymphangiomas do not cause symptoms and do not require treatment. Resection is required in patients with bleeding or intussusceptions. We report a case of intestinal lymphangiomatosis in a 31-year-old man who presented with recurrent melena and anaemia, which were diagnosed endoscopically and treated with surgical resection. BACKGROUND

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“…Colonoscopy is essential for excluding the possibility of diseases such as adenomatous polyposis or pseudopolyposis secondary to ulcerative colitis, and endoscopic ultrasonography may be able to rule out some of the disorders in the differential diagnosis of submucosal lesions. 13 Abdominal CT has been reported to be useful for detecting the intra- mural gas in patients with PI, particularly when the scans are obtained at the lung-window settings. However, sometimes, as in the current case, it is diffi cult to confi rm the diagnosis of PI even after performing these examinations.…”

Section: Discussionmentioning

confidence: 99%

Pneumatosis coli complicated with intussusception in an adult: Report of a case

Nagata

Ueda²,

Yoshida³

et al. 2010

Surg Today

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Pneumatosis intestinalis (PI) is a rare condition of unclear etiology affecting the intestinal tract; possible complications include obstruction, intussusception, volvulus, hemorrhage, and intestinal perforation. Pneumatosis intestinalis can occur as a primary idiopathic disease or as a condition secondary to various gastrointestinal and pulmonary diseases. This report presents an uncommon case of PI complicated with intussusception of the ascending colon in a male patient who underwent surgery for suspected lipomatosis that was histologically diagnosed as pneumatosis coli. Since the patient suffered from no other disorder, he was finally diagnosed as having primary PI. Physician awareness of this rare condition is essential in order to avoid a misdiagnosis and unnecessary surgical treatment.

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Colonic submucosal tumors: comparison of endoscopic US and target air-enema CT with barium enema study and colonoscopy.

Abstract: Endoscopic US and TACT may play a valuable role in the evaluation of colonic submucosal tumors.

Cited by 28 publications

References 0 publications

The Spectrum of Pneumatosis Intestinalis

The Spectrum of Pneumatosis Intestinalis

Caecal lymphangioma: a rare cause of gastrointestinal blood loss

Pneumatosis coli complicated with intussusception in an adult: Report of a case

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