No abstract available.
Humans ; Pneumatosis Cystoides Intestinalis* ; Scleroderma, Systemic*

The gastrointestinal tract is commonly involved in patients with systemic sclerosis. The manifestations include motility disorder, pseudo-obstruction, malabsorption, bacterial overgrowth, diverticuli, and, less commonly, pneumatosis cystoides intestinalis (PCI). PCI is characterized by the presence of air in the submucosal or subserosal layer of the bowel wall and is often accompanied by pneumoperitoneum. Although PCI is a benign condition that often responds to conservative management, it is a poor prognostic factor of systemic sclerosis. We report a case of PCI in a patient with systemic sclerosis. The chest and abdominal radiographic findings comprised pneumoperitoneum, marked dilation of the bowels, and intramural air, compatible with PCI. The patient's symptoms improved spontaneously. It is important to recognize PCI as a gastrointestinal manifestation of systemic sclerosis, and physicians should differentiate it from serious complications-such as intestinal perforation-based on clinical manifestations.
Gastrointestinal Tract ; Humans ; Pneumatosis Cystoides Intestinalis ; Pneumoperitoneum ; Scleroderma, Systemic ; Thorax

Pneumatosis cystoides intestinalis (PCI) is defined as the presence of multiple gas filled cysts in the wall of gastrointestinal tract, and was first reported by Duvernoi in 1730 from the pathologic findings at autopsy. The etiology and pathogenesis of this relatively rare but distinctive disorder remain unresolved. We recently experienced a case of PCI, in a 28-year old woman with chronic constipation for about 10 years. The case is presented with review of the literature.
Adult ; Autopsy ; Constipation ; Female ; Gastrointestinal Tract ; Humans ; Pneumatosis Cystoides Intestinalis*

Pneumatosis cystoides intestinalis is a rare phenomenon presenting with multiple gas-filled cysts in the submucosal or subserosal layer of the gastrointestinal tract. Pneumatosis cystoides intestinalis can occur as a primary or secondary disease with an underlying etiology. We recently managed a case of primary pneumatosis cystoides intestinalis in a 42-year-old man with chronic abdominal pain. The case is presented with a review of the literature.
Abdominal Pain ; Adult ; Gastrointestinal Tract ; Humans ; Pneumatosis Cystoides Intestinalis

Pneumatosis cystoides intestinalis is a rare phenomenon presenting with multiple gas-filled cysts in the submucosal or subserosal layer of the gastrointestinal tract. Pneumatosis cystoides intestinalis can occur as a primary or secondary disease with an underlying etiology. We recently managed a case of primary pneumatosis cystoides intestinalis in a 42-year-old man with chronic abdominal pain. The case is presented with a review of the literature.
Abdominal Pain ; Adult ; Gastrointestinal Tract ; Humans ; Pneumatosis Cystoides Intestinalis

No abstract available.
Adult ; Colonoscopy ; Humans ; Male ; Pneumatosis Cystoides Intestinalis/*diagnosis ; Tomography, X-Ray Computed

Pneumatosis cystoides intestinalis (PCI) occurring in association with collagen vascular disease is an unusual combination that presents with intramural gas in the gastrointestinal tract. We report two cases of PCI, one with antinuclear antibody (ANA) negative SLE and the other with dermatomyositis, with a review of the relevant literature.
Antibodies, Antinuclear* ; Collagen ; Dermatomyositis* ; Gastrointestinal Tract ; Humans ; Lupus Erythematosus, Systemic* ; Pneumatosis Cystoides Intestinalis* ; Pneumoperitoneum ; Vascular Diseases

Pneumatosis cystoides intestinalis is an uncommon condition characterized by the presence of multiple gas-filled cysts within the gastrointestinal wall. This lesion occurs in association with a large variety of gastrointestinal and non-gastrointestinal conditions. Herein, we describe a case of pneumatosis cystoides intestinalis of the small intestine that developed in a 31-year-old man with a history of duodenal ulcer and pyloric stenosis. Emergency exploro-laparotomy was done due to a suspicion of ulcer perforation. Primary closure for duodenal ulcer perforation and segmental resection of ileum were done. Resected ileum showed diffuse sponge-like changes in the wall. Microscopically, variable-sized cystic lesions, lined by flat or multinucleated giant cells, were noted throughout the intestinal wall.
Adult* ; Duodenal Ulcer ; Emergencies ; Giant Cells ; Humans ; Ileum* ; Intestine, Small ; Pneumatosis Cystoides Intestinalis* ; Pyloric Stenosis ; Ulcer

Pneumatosis cystoides intestinalis is an uncommon condition characterized by the presence of multiple gas-filled cysts within the wall of the gastrointestinal tract. It is still a poorly understood phenomenon, considered to result from primary mucosal insult from varying causes. However, it is associated with various diseases, including gastroenteral obstructive and connective vascular diseases and even pulmonary or endocrine diseases. Authors report a case of pneumatosis cystoides intestinalis with volvulus in the small intestine that developed in a 44-year-old man without history of any special underlying diseases.
Adult ; Endocrine System Diseases ; Gastrointestinal Tract ; Humans ; Intestinal Volvulus ; Intestine, Small ; Pneumatosis Cystoides Intestinalis ; Vascular Diseases

Pneumatosis cystoides intestinalis (PCI) is a rare condition characterized by multiple gas-filled cysts of varying size in the wall of gastrointestinal tract. PCI may idiopathic or secondary to various disorders. The etiology and pathogenesis of PCI are unclear. Treatment is usually conservative, and includes oxygen and antibiotics therapy. Surgery is reserved for cases of suspected inconvertible intestinal obstruction or perforation. Eleven patients who were diagnosed with PI between 2005 and 2015 were reviewed. We report three cases of PCI and describe causes and complications. The most important point in the treatment of PCI is to determine whether the patient needs surgery. Conservative care should be considered first if the patient is stable. If any complication is observed, such as ischemia in the intestine, surgery is needed. It is important to choose the best treatment based on prognostic factors and CT findings.
Anti-Bacterial Agents ; Gastrointestinal Tract ; Humans ; Intestinal Obstruction ; Intestines ; Ischemia ; Oxygen ; Pneumatosis Cystoides Intestinalis ; Prognosis