The mucosal changes and pathogenesis of pneumatosis cystoides intestinalis

Pieterse, A.S.; Leong, Anthony S.‐Y.; Rowland, R.

doi:10.1016/s0046-8177(85)80152-0

Cited by 128 publications

(56 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The first component is the mechanical aspect of gas traversing the mural portion Case Reports in Medicine 3 of the bowel. This can be precipitated by microbreaks in the mucosa, such as those caused by inflammation or necrosis; it can also be the result of direct gas diffusion across an intact mucosal membrane, as can occur in instances of increased transabdominal pressure [6,7]. The second aspect is the origin of the gas; while some amount of intramural gas is normally present in the human bowel, bacterial overgrowth and invasion of the bowel wall can result in excess gas production favoring the formation of PI [8].…”

Section: Discussionmentioning

confidence: 99%

Pneumatosis Intestinalis Presenting as Small Bowel Obstruction without Bowel Ischemia after Mechanical Ventilation

Kim¹,

Choi²,

Yoo³

2017

Korean J Crit Care Med

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Pneumatosis Intestinalis Presenting as Small Bowel Obstruction without Bowel Ischemia after Mechanical Ventilation

Kim¹,

Choi²,

Yoo³

2017

Korean J Crit Care Med

View full text Add to dashboard Cite

“…De acordo com a teoria mecânica, o gás disseca a parede intestinal através de disrupções da mucosa ou através da serosa a partir dos vasos mesentéricos. 4 A teoria bacteriana advoga que as bactérias formadoras de gás terão acesso à submucosa através de pontos de rotura da mucosa.…”

Section: Discussionunclassified

Pneumatose Cólica Tratada com Metronidazol e Oxigenoterapia Hiperbárica: Um Caso de Sucesso

et al. 2015

View full text Add to dashboard Cite

Acta Med Port 2015 Jul-Aug;28(4):534-537 RESUMOA pneumatose intestinal, caracterizada pela presença de gás na parede do cólon, é uma condição incomum com um espectro de apresentação variável. Pode ser idiopática ou secundária a outras doenças. A tomografia computorizada é o método de diagnóstico com maior sensibilidade. Na ausência de sinais e sintomas sugestivos de complicações, como a perfuração e a peritonite, a pneumatose intestinal pode ser tratada de forma conservadora. Apresenta-se o caso de uma mulher de 59 anos com pneumatose cólica secundária a teratoma ovárico benigno. Após a cirurgia, manteve-se sintomática e foi tratada com sucesso com metronidazol e oxigenoterapia hiperbárica. Palavras-chave: Metronidazol; Oxigenação Hiperbárica; Pneumatose Cistoide Intestinal. ABSTRACTPneumatosis intestinalis, characterized by the presence of gas within the bowel wall, is an uncommon condition with variable presentation. It may be idiopathic or secondary to other diseases. A computed tomography scan is the most sensitive method for diagnosis. In the absence of signs and symptoms of complications, such as perforation and peritonitis, pneumatosis intestinalis can be managed conservatively. We present the case of a 59-year-old woman with pneumatosis coli secondary to benign ovary teratoma. After surgery she remained symptomatic and was successfully treated with metronidazole and hyperbaric oxygen therapy.

show abstract

“…The first mechanical theory is that PCI occurs when intestinal gas is directly absorbed into the submucosa through damaged mucosa or when the gas in mesenteric blood vessels is absorbed into the subserosa [11,12]. This theory has been proposed to explain the occurrence of PCI in patients with ischemic bowel diseases or inflammatory and necrotic ones where the intestinal mucosa is damaged [13].…”

Section: Discussionmentioning

confidence: 99%

A Case of Pneumatosis Cystoides Intestinalis and Portal Venous Gas Accompanied by Emphysematous Pyelonephritis in Type 2 Diabetes Mellitus

Eom

Lee

et al. 2014

J Korean Diabetes

View full text Add to dashboard Cite

Diabetes mellitus is a major risk factor for urinary tract infection (UTI); emphysematous pyelonephritis (EP), a complication of UTIs, often occurs in patients with underlying, poorly controlled diabetes mellitus. We report the case of an 87-year-old woman with EP in type 2 diabetes mellitus who developed pneumatosis cystoides intestinalis (PCI) with portal venous gas. PCI is a radiographic finding, which is found in a linear or cystic form of gas in the submucosa or subserosa of the bowel wall. PCI has two common presentations. Primary PCI is a benign idiopathic condition. Secondary PCI is associated with a wide variety of gastrointestinal and nongastrointestinal diseases. PCI with portal venous gas in particular is associated with ischemic gastrointestinal disease. Initial pre-enhanced abdominopelvic computed tomography showed EP in the right kidney without PCI. Newly occurring PCI and hepatic portal venous gas were found in the right ascending colon after EP improved. This is a rare case of PCI accompanied by emphysematous pyelonephritis in type 2 diabetes mellitus. The patient's general condition improved with intravenous antibiotics and fluid therapy without a surgical approach. However, she was discharged without further treatment because the family refused any further evaluations and treatments. (

show abstract

The mucosal changes and pathogenesis of pneumatosis cystoides intestinalis

Cited by 128 publications

References 9 publications

Pneumatosis Intestinalis Presenting as Small Bowel Obstruction without Bowel Ischemia after Mechanical Ventilation

Pneumatosis Intestinalis Presenting as Small Bowel Obstruction without Bowel Ischemia after Mechanical Ventilation

Pneumatose Cólica Tratada com Metronidazol e Oxigenoterapia Hiperbárica: Um Caso de Sucesso

A Case of Pneumatosis Cystoides Intestinalis and Portal Venous Gas Accompanied by Emphysematous Pyelonephritis in Type 2 Diabetes Mellitus

Contact Info

Product

Resources

About