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

Nagata, Shigeyuki; Ueda, Naoyuki; Yoshida, Yasuhiro; Matsuda, Hiroyuki

doi:10.1007/s00595-009-4087-5

Cited by 18 publications

(6 citation statements)

References 14 publications

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“…The situation, as in the present case, may be underreported, but it certainly remains a very rare occurrence. We retrieved only six adult cases of colonic intussusception associated with PCI (Table 1 )[ 4 , 13 - 17 ]. No case had other lesions that could potentially serve as the lead point.…”

Section: Discussionmentioning

confidence: 99%

Rare etiology of colonic intussusception involving an adult with emphysematous cystic enteropathy: A case report and review of literature

Bergeron,

Pichette,

Boisvert

et al. 2024

World J Clin Cases

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BACKGROUND Pneumatosis cystoides intestinalis (PCI), characterized by a collection of gas-filled cysts in the intestinal wall, is an uncommon but well-known condition in gastroenterology. Abdominal pain is the most frequent symptom associated with PCI. Intussusception represents a potential cause of recurrent abdominal pain or emergency presentation. However, the occurrence of colonic intussusception secondary to PCI is very unusual in adulthood. CASE SUMMARY A 52-year-old male, known with idiopathic PCI, presented seventeen months after initial diagnosis with a new right upper quadrant pain. A computed tomography-scan demonstrated a colonic intussusception at the hepatic flexure. PCI did not progress compared with initial investigation. The patient underwent an emergency right hemicolectomy. CONCLUSION Resection was recommended in this case because PCI proved to be persisting with no identified curable cause. Surgery allowed to address the underlying pathology, the potential relapse of intussusception, and the likely cause of recurrent abdominal pain, either invagination or PCI itself.

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Section: Discussionmentioning

confidence: 99%

Rare etiology of colonic intussusception involving an adult with emphysematous cystic enteropathy: A case report and review of literature

Bergeron,

Pichette,

Boisvert

et al. 2024

World J Clin Cases

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“…Clinically, Pneumatosis cystoides intestinalis is often paucisymptomatic. In the symptomatic forms, symptoms are related to luminal occlusion, extrinsic compression, or mucosal distress facilitated by the cysts [1][2][3][4][5][6][7][8][9][10][11].…”

Section: Ido Et Al 31mentioning

confidence: 99%

“…Other therapies such as nasogastric decompression, octreotide administration, or endoscopic fenestration have shown mixed results. Surgical treatment is indicated mainly for complicated cases and consists of segmental resection of the affected intestinal portion [1,2,[7][8][9][10][11].…”

Section: Ido Et Al 32mentioning

confidence: 99%

Pneumatosis cystoides intestinalis revealed by an occlusive syndrome: A case report

Ido

Ouedraogo

Savadogo

et al. 2023

J Case Rep Images Pathol

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Introduction: Pneumatosis cystoides intestinalis is a rare condition characterized by the presence of gas cysts in the intestinal wall. It can affect different segments of the digestive tract. Male patients over 50 years old seem to be more affected. Classically, one opposes the primary or idiopathic forms and the secondary forms. Case Report: We report the case of a 62-year-old female patient with a history of treated peptic ulcers, who presented with episodes of intermittent atypical abdominal pain that worsened abruptly. The physical examination revealed a surgical abdomen with tenderness to palpation. The patient underwent a jejunal resection. The pathological examination showed macroscopically an intestinal fragment with confluent subserosal and intestinal intraparietal bullae. On opening, the portion containing the bullae was thickened, infarcted, congestive, hemorrhagic, and brittle with narrowing of the intestinal lumen. The bullae are tense and leave serosities. On histological examination, the intestinal wall was very congestive with hemorrhagic patches of suffusion. There were optically empty cystic formations that does not communicate with the digestive lumen. The adjacent mucosa is the site of a moderate subacute inflammatory reaction. Conclusion: Pneumatosis cystoides intestinalis is a rare and usually benign pathology. The symptoms, when they exist, are not specific. Its physiopathology is still very much debated. The prognosis is generally good. The knowledge of this pathology is necessary to avoid invasive explorations and heavy treatment without interest for the patient.

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“…Pneumatosis coli may be asymptomatic or accompanied by constipation, diarrhea, abdominal pain, obstruction, intussusception, or volvulus [158,163,164]. Symptoms and features referable to the underlying condition may be noted [159].…”

Section: Pneumatosis Colimentioning

confidence: 99%

Biopsy interpretation of colonic biopsies when inflammatory bowel disease is excluded

et al. 2012

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The interpretation of colonic biopsies related to inflammatory conditions can be challenging because the colorectal mucosa has a limited repertoire of morphologic responses to various injurious agents. Only few processes have specific diagnostic features, and many of the various histological patterns reflect severity and duration of the disease. Importantly the correlation with endoscopic and clinical information is often cardinal to arrive at a specific diagnosis in many cases.

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

Cited by 18 publications

References 14 publications

Rare etiology of colonic intussusception involving an adult with emphysematous cystic enteropathy: A case report and review of literature

Rare etiology of colonic intussusception involving an adult with emphysematous cystic enteropathy: A case report and review of literature

Pneumatosis cystoides intestinalis revealed by an occlusive syndrome: A case report

Biopsy interpretation of colonic biopsies when inflammatory bowel disease is excluded

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