Pneumatosis Cystoides Intestinalis with Non-surgical Encapsulated Pneumoperitoneum: Case Presentation and Literature Review
Fuente:
Redalyc
Guardado en:
| Autor principal: | |
|---|---|
| Formato: | Artículo científico |
| Lenguaje: | en |
| Publicado: |
Asociación Colombiana de Gastroenterologia
2023
|
| Materias: | |
| Acceso en línea: | |
| Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
| _version_ | 1876453096961343488 |
|---|---|
| author | Camilo de Jesús Blanco-Avellaneda |
| author_facet | Camilo de Jesús Blanco-Avellaneda |
| contents | Pneumatosis Cystoides Intestinalis with Non-surgical Encapsulated Pneumoperitoneum: Case Presentation and Literature Review Camilo de Jesús Blanco-Avellaneda Robin Germán Prieto-Ortiz Medicina colonoscopy observation large intestine pneumoperitoneum Pneumatosis cystoides intestinalis Introduction: Pneumatosis cystoides intestinalis (PCI) is a rare entity characterized by cysts or air bubbles in the intestinal wall, usually asymptomatic. Its uncomplicated forms are managed conservatively, and the severe ones require surgical intervention. The presence of pneumoperitoneum is a disturbing radiological finding but not an indicator of surgical intervention. Clinical case: A 23-year-old man presented with weight loss, diarrhea, and rectal bleeding; a colonoscopy showed multiple violaceous cysts in the sigmoid and descending colon that collapsed after puncture and biopsies. Computed tomography (CT) confirmed the diagnosis and the presence of an encapsulated pneumoperitoneum. The absence of signs of potential lethality allowed conservative treatment with clinical remission during the first eight months of follow-up. Discussion: The pathophysiology of PCI is not well defined. Our patient’s diagnosis was incidental when performing a colonoscopy for rectal bleeding. Asymptomatic encapsulated pneumoperitoneum should be interpreted as an important but not decisive sign of surgical intervention. Its presence, along with the medical history and physical, biochemical, endoscopic, and imaging examination, can prevent unnecessary surgery. 2023 otro 0120-9957 https://www.redalyc.org/articulo.oa?id=337779447017 https://www.redalyc.org/journal/3377/337779447017/ https://www.redalyc.org/journal/3377/337779447017/html/ https://www.redalyc.org/journal/3377/337779447017/337779447017.epub https://www.redalyc.org/journal/3377/337779447017/movil 10.22516/25007440.908 en http://www.redalyc.org/revista.oa?id=3377 Revista Colombiana de Gastroenterología application/pdf Asociación Colombiana de Gastroenterologia Revista Colombiana de Gastroenterología (Colombia) Num.1 Vol.38 |
| format | Artículo científico |
| id | redalyc_337779447017 |
| institution | Redalyc |
| language | en |
| publishDate | 2023 |
| publisher | Asociación Colombiana de Gastroenterologia |
| spellingShingle | Pneumatosis Cystoides Intestinalis with Non-surgical Encapsulated Pneumoperitoneum: Case Presentation and Literature Review Camilo de Jesús Blanco-Avellaneda Medicina colonoscopy observation large intestine pneumoperitoneum Pneumatosis cystoides intestinalis Pneumatosis Cystoides Intestinalis with Non-surgical Encapsulated Pneumoperitoneum: Case Presentation and Literature Review Camilo de Jesús Blanco-Avellaneda Robin Germán Prieto-Ortiz Medicina colonoscopy observation large intestine pneumoperitoneum Pneumatosis cystoides intestinalis Introduction: Pneumatosis cystoides intestinalis (PCI) is a rare entity characterized by cysts or air bubbles in the intestinal wall, usually asymptomatic. Its uncomplicated forms are managed conservatively, and the severe ones require surgical intervention. The presence of pneumoperitoneum is a disturbing radiological finding but not an indicator of surgical intervention. Clinical case: A 23-year-old man presented with weight loss, diarrhea, and rectal bleeding; a colonoscopy showed multiple violaceous cysts in the sigmoid and descending colon that collapsed after puncture and biopsies. Computed tomography (CT) confirmed the diagnosis and the presence of an encapsulated pneumoperitoneum. The absence of signs of potential lethality allowed conservative treatment with clinical remission during the first eight months of follow-up. Discussion: The pathophysiology of PCI is not well defined. Our patient’s diagnosis was incidental when performing a colonoscopy for rectal bleeding. Asymptomatic encapsulated pneumoperitoneum should be interpreted as an important but not decisive sign of surgical intervention. Its presence, along with the medical history and physical, biochemical, endoscopic, and imaging examination, can prevent unnecessary surgery. 2023 otro 0120-9957 https://www.redalyc.org/articulo.oa?id=337779447017 https://www.redalyc.org/journal/3377/337779447017/ https://www.redalyc.org/journal/3377/337779447017/html/ https://www.redalyc.org/journal/3377/337779447017/337779447017.epub https://www.redalyc.org/journal/3377/337779447017/movil 10.22516/25007440.908 en http://www.redalyc.org/revista.oa?id=3377 Revista Colombiana de Gastroenterología application/pdf Asociación Colombiana de Gastroenterologia Revista Colombiana de Gastroenterología (Colombia) Num.1 Vol.38 |
| title | Pneumatosis Cystoides Intestinalis with Non-surgical Encapsulated Pneumoperitoneum: Case Presentation and Literature Review |
| topic | Medicina colonoscopy observation large intestine pneumoperitoneum Pneumatosis cystoides intestinalis |
| url | https://www.redalyc.org/articulo.oa?id=337779447017 https://www.redalyc.org/journal/3377/337779447017/ https://www.redalyc.org/journal/3377/337779447017/html/ https://www.redalyc.org/journal/3377/337779447017/337779447017.epub https://www.redalyc.org/journal/3377/337779447017/movil |