Treatment experience and literature review of intestinal pneumatosis cystoid
10.3969/j.issn.1008-9691.2025.02.022
- VernacularTitle:肠气囊肿的治疗体会并文献复习
- Author:
Ming ZHU
1
;
Miao ZHOU
Author Information
1. 济宁市第一人民医院胃肠外科,山东 济宁 272000
- Publication Type:Journal Article
- Keywords:
Intestinal pneumatosis cystoid;
Stomachache;
Colonic stricture
- From:
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
2025;32(2):234-237
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the clinical manifestations of intestinal pneumatosis cystoid(IPC)and explore the prognosis of IPC patients,to provide a reference for clinical treatment.Methods The clinical data of 4 IPC patients admitted to Jining First People's Hospital from June 2024 to March 2025 were retrospectively analyzed,and the treatment experience was summarized.Results Case 1:a 65-year-old male patient presented with lower abdominal pain,fever,nausea,and vomiting(vomitus was intestinal contents)without obvious trigger on July 15,2024.CT showed thickening of the distal transverse colon wall and multiple cystic gas-density shadows in the submucosa,suggesting transverse colon pneumatosis cystoides with surrounding infection.The patient was discharged after conservative treatment in our hospital,including anti-inflammatory therapy and fasting.However,the patient repeatedly developed intestinal obstruction symptoms after discharge,but the patient and family refused surgery and chose conservative treatment until automatic discharge.Due to recurrent abdominal pain,the patient was later treated in an external hospital,where incomplete intestinal obstruction of the transverse colon was diagnosed.Given the poor response to conservative treatment and recurrent obstruction,multidisciplinary discussion recommended surgery.Intraoperative exploration revealed stenosis in part of the transverse colon,and partial transverse colon resection with end-to-side anastomosis was performed.The operation was successful,and the patient recovered well postoperatively.The other 3 IPC patients had milder symptoms and were discharged after conservative treatment.Conclusion Most cases of intestinal pneumatosis cystoid can improve with conservative treatment.It is of great significance to determine the need for surgery and prevent colonic stricture after conservative treatment.
