Case report: intestinal pneumatosis
DOI:
https://doi.org/10.31053/1853.0605.v75.n4.15717Keywords:
pneumatosis intestinalis, pneumatosis coli, cystoidsAbstract
Objective: To present a recent to increase understanding, diagnosis and treatment of intestinal pneumatosis clinical case, considering the distinctive characteristics of the disease and to expand knowledge about the management of this condition.
Methods: The case of a female patient aged 65, originally from Bolivia, with a history of osteoarthritis, osteoporosis, asthma and allergies repetition occurs. The patient was admitted to the Department of Surgery No. 1 HNC in November 2015, with an unclear clinical picture. During admission of air bubbles present in the colonic mucosa and tumor lesion is discovered duodenum. Quickly it begins with treatment and adequate support for stabilization. A literature search and an update of the latest updates regarding this disease arises. medical seekers popularity as PUBMED, UP TO DATE, VBS were used. a series of articles about it were selected.
The patient cited in this work has given us the corresponding written consent for the anonymous publication with scientific purposes about her information.
Also we declare the absence of external financing and conflicts of interest.
Conclusions: it was concluded that management should generally be conservative, excluding the case of complications (obstruction, perforation) and suspected intestinal ischemia. Exploratory laparoscopy may be helpful to determine the appropriate behavior. Conservative treatment includes antibiotics, hyperbaric oxygen and supportive measures.
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References
Báez García J, Gómez Jardon J, Hernández-Magro P, et al. Neumatosis coli. Revista de gastroenterología de México.2007; 72 (2).
Barron C, Chaskis R, Grassi V, et al. Case Report. Pneumatosis Cystoides Intestinalis: A Rare Benign Cause of Pneumoperitoneum. Radiology. 2013. ID 353245
Creevey K, Cohen J, Riley G. Pneumatosis of the descending colon. The New England Journal of Medicine. 1958 Nov 6.
Rittenhouse DW, Chojnacki KA. Massive portal venous air and pneumatosis intestinalis associated with cocaine induced mesenteric ischemia. J GastrointestSurg. 2012; 16: 223-225 [PMID: 21656084 DOI: 10.1007/s11605-011-1579-6])
Gamboa-Domínguez A. Neumatosis intestinal. Informe de tres casos. Revista de Gastroenterologia de Mexico. 2000; 65: (166-70).
Koss LG. Abdominal gas cysts pneumatosis systoides intestinorum hominis? an analysis with a report of a case and critical review of the literature. AMA Arch Pathol. 1952; 53: 523549.
Wu, Yun-Sheng Yang, Yan Dou, Qing-Sen Liu. A systematic analysis of pneumatosis cystoids intestinalis. World J Gastroenterology. 2013 August 14; 19(30): 4973-4978 ISSN 1007-9327 (print) ISSN 2219-2840 (online).
Nancy Fu YT, Kim E, Bressler B. Pneumatosis intestinalis after colonoscopy in a Crohn’s disease patient with mucosal healing. Inflamm Bowel Dis 2013; 19: E7-E8 [PMID: 22147522 DOI: 10.1002/ibd.22840])
Wertkin MG, Wetchler BB, Waye JD, et al. Pneumatosis coli associated with sigmoid volvulus and colonoscopy. Am J Gastroenterol. 1976; 65: 209-214 [PMID: 937319])
Forgacs P, Wright PH, Wyatt AP. Treatment of intestinal gas cysts by oxygen breathing. Lancet. 1973 Mar 17; 1(7803):579–582.
Kreiss C. Pneumatosis intestinal is complicating C. difficile pseudomembranous colitis. Am J Gastroenterol. 1999; 94: 2560-1.
Ando T, Sakata J, Maruyama T, et al. Case of Pneumatosis Cystoides Intestinalis Secondary to Gefitinib Therapy for Lung Adenocarcinoma. BMC Cancer. 2012; 12: 87
Petris C, Kyriarcos N, Andreas I, et al. Pneumatosis Cystoides Intestinalis after Cetuximab Chemotherapy for Squamous Cell Carcinoma of Parotid Gland. Case Rep Surg. 2015; 2015: 530-680.
Morris MS, Gee AC, Cho SD, et al. Neumatosis intestinal Infiltración de aire dentro de la pared del tracto gastrointestinal. Revisión retrospectiva sobre su diagnóstico y tratamiento. Am J Surg. 2008? 195(5): 679683.
Balasuriya HD, Abeysinghe J, Cocco N. Portal venous gas and pneumatosis coli in severe cytomegalovirus colitis. ANZ J Surg. 2015 Jul 14.
Haijing Z, Stephanie LJ, Todd VB. Report Pneumatosis Intestinalis: Not Always a Surgical Indication. Case Reports in Surgery. 2012.
Zúñiga JM, Orellana F, Castro M, et al. Pneumatosis intestinalis, A case report. Rev. Chilena de Cirugía. 2009; 61(1): 78-82.
A Costa M, Morgado C, Andrade D, et al. Pneumatosis Coli Treated with Metronidazole and Hyperbaric Oxygen Therapy: A Successful Case Med Port. 2015 Jul-Aug; 28(4): 534-7.
Philippe Hannaa, RadwanKassir b, Tarek Debs c, et al. Pneumatosis cystoids intestinalis presenting as bowel perforation, a rare entity. Journal of Surgery Case Reports .2016; 7–9.
Kancherla D, Vattikuti S, Vipperla K. Neumatosis cystoides intestinalis: Is surgery always indicated? Cleve Clin J Med. 2015 Mar; 82(3):151-2.
Karabuga T, Yoldas O, Ozsan I, Y?ld?r?m UM2, Aydin U. Diagnostic laparoscopy for pneumatosisintestinalis: to do or not to do? Am J Emerg Med. 2014 Dec;32(12):1555-15557.
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