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
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Colonic Diseases/pathology/radiography
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*Colonography, Computed Tomographic
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Humans
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Intestinal Mucosa/pathology
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Male
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Pneumatosis Cystoides Intestinalis/*pathology/radiography
2.Pneumatosis Intestinalis and Hepatic Portal Venous Gas Caused by Necrotizing Colitis.
The Korean Journal of Gastroenterology 2006;47(6):407-408
No abstract availble.
Colitis/*complications/pathology
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Colon/*radiography
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Female
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Gases
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Humans
;
Middle Aged
;
Necrosis
;
Pneumatosis Cystoides Intestinalis/etiology/*radiography
;
Portal Vein/*radiography
3.Pneumatosis Intestinalis and Hepatic Portal Venous Gas Caused by Necrotizing Colitis.
The Korean Journal of Gastroenterology 2006;47(6):407-408
No abstract availble.
Colitis/*complications/pathology
;
Colon/*radiography
;
Female
;
Gases
;
Humans
;
Middle Aged
;
Necrosis
;
Pneumatosis Cystoides Intestinalis/etiology/*radiography
;
Portal Vein/*radiography