A Case of Pneumatosis Cystoides Intestinalis: Diagnosed by CT Colonoscopy.
- Author:
Joo Ho HAM
1
;
Tae Ho KIM
;
Sok Won HAN
;
Keun Jong CHO
;
Son Ook CHOI
;
Jung Sun PACK
;
Seong Eun YANG
;
Sang Hee KIM
;
Seung Ah YANG
;
Yune Jeong LEE
;
Eun Sook KIM
;
Chang Whan KIM
Author Information
1. Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea. kimtaeho@catholic.ac.kr
- Publication Type:Case Report ; English Abstract
- Keywords:
Pneumatosis cystoides intestinalis;
CT colonoscopy
- MeSH:
Adult;
Colonic Diseases/pathology/radiography;
*Colonography, Computed Tomographic;
Humans;
Intestinal Mucosa/pathology;
Male;
Pneumatosis Cystoides Intestinalis/*pathology/radiography
- From:The Korean Journal of Gastroenterology
2007;50(5):334-339
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pneumatosis cystoides intestinalis (PCI) is a rare condition characterized by multiple gas filled cysts in the intestinal wall. The diagnosis of PCI is usually made by colonoscopy, histology, or radiologic findings. We report a case of PCI in a 35-year-old man. The patient initially complained of watery diarrhea and abdominal bloating for 2 weeks. Simple abdominal X-ray demonstrated numerous, small, round, air densities on the right upper abdomen along the ascending and proximal transverse colon. Colonoscopy revealed numerous, 5-20 mm sized, sessile polypoid, balloon-like distended, protruding subepithelial masses covered with normal colonic mucosa from cecum to proximal transverse colon. We performed a CT colonoscopy and confirmed PCI with multiple air-filled cystic masses along the colonic wall from cecum to proximal transverse colon. The patient was treated with antibiotics and oxygen inhalation for 2 weeks. Follow-up CT colonoscopy revealed marked regression in the number and size of the air-filled cystic masses. Herein, we report the first case of the PCI in Korea diagnosed by CT colonoscopy. Follow-up evaluation with CT colonoscopy was performed after the treatment of the PCI. CT colonoscopy is a useful non-invasive diagnostic tool for the diagnosis of pneumatosis cystoides intestinalis.
