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1.A Case of Pneumatosis Cystoides Intestinalis: Diagnosed by CT Colonoscopy.

Joo Ho HAM ; 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

The Korean Journal of Gastroenterology 2007;50(5):334-339

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.
Adult ; Colonic Diseases/pathology/radiography ; *Colonography, Computed Tomographic ; Humans ; Intestinal Mucosa/pathology ; Male ; Pneumatosis Cystoides Intestinalis/*pathology/radiography

1.A Case of Pneumatosis Cystoides Intestinalis: Diagnosed by CT Colonoscopy.

2.Pneumatosis Intestinalis and Hepatic Portal Venous Gas Caused by Necrotizing Colitis.

3.Pneumatosis Intestinalis and Hepatic Portal Venous Gas Caused by Necrotizing Colitis.

4.A Case with Primary Pneumatosis Cystoides Treated after Colonoscopic Endoscopic Mucosal Resection.

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