ABSTRACT
Pneumatosis intestinalis (PI) is a rare condition affecting 0.03-0.37% of general population. This entity has varied presentation which ranges from asymptomatic to surgical emergency in the form of acute abdomen. The acute abdomen presentation can be bowel necrosis, perforation or persistent bowel obstruction. We present a case of PI of small intestine in an adult patient admitted in emergency department who presented with acute abdomen and pneumo-peritoneum.
ABSTRACT
No abstract available.
ABSTRACT
Pneumatosis coli (PC) is a rare disease that is characterized by multiple, varying-sized cysts at the mucosa or submucosa in the colon and sigmoid colon. About 85% of PC is associated in other gastrointestinal, pulmonary and connective diseases. Ischemic colitis is rarely associated with PC. The symptoms of PC are not specific, and the patients with this malady present with hematochezia, abdominal pain, diarrhea and other symptoms associated with their underlying diseases. Colonoscopy and computed tomography are recommended for making the diagnosis. The underlying diseases should be treated and oxygen therapy, intra-venous antibiotics and/or surgical treatment can be used. The prognosis is generally good, but volvulus, intussusception, intestinal obstruction, bleeding and perforation can occur in 3% of these patients. We experienced two patients who initially presented with hematochezia and they were found to have PC and ischemic colitis according to the colonoscopy exams; these are the first such reported cases in Korea. Both patients were treated conservatively with low-dose oxygen therapy and intra-venous metronidazole. We report here on 2 cases of PC associated with ischemic colitis, and we review the relevant literature.
Subject(s)
Humans , Abdominal Pain , Anti-Bacterial Agents , Colitis, Ischemic , Colon , Colon, Sigmoid , Colonoscopy , Diarrhea , Gastrointestinal Hemorrhage , Hemorrhage , Intestinal Obstruction , Intestinal Volvulus , Intussusception , Korea , Metronidazole , Mucous Membrane , Oxygen , Prognosis , Rare DiseasesABSTRACT
Pneumatosis cystoides intestinalis is a rare condition. Presented here is a case report of a patient who was admitted with acute abdomen and was operated upon. The gross morphology and histological features of the specimen were consistent with Pneumatosis cystoides intestinalis.