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Japanese

A Case of Pneumatosis Cystoides Intestinalis and Gastric Carcinoma Coexisting with Aberrant Pancreas N. Kameda 1 , T. Atobe 1 , A. Aoyama 1 , S. Ichimori 2 , M. Akima 2 , E. Wakai 2 1Department of Pathology, Toho University School of Medicine 2Department of Pathology, Toho University Hospital pp.241-247
Published Date 1978/2/25
DOI https://doi.org/10.11477/mf.1403107221
  • Abstract
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 Pneumatosis cystoides intestinalis (PCI) was found in a 63 years old female who underwent a gastrectomy for marked pyloric stenosis with duodenal ulcer. Histological examination showed widespread adenocarcinoma of tubular type. Since tumor growth was noted mainly in the submucosal tissue coexisting with the aberrant pancreatic tissue, the tumor seemed most probably to be originated from the gastric mucosa.

 A part of the small intestine with numerous gasfilled cysts in the submucosa was also resected and submitted to a translucent and scanning electronmicroscopic study because of rare occurrence of such lesions and obscurity of their morphogenesis.

 It was indicated that the wall of most the gas-filled cysts was surrounded by fibrous connective tissue, and on the inner surface fibrocytic cell including some foreign body giant cells existed, and the endothelial lining cells were found to be obscure.

 In the present case, advanced pyloric stenosis and intestinal motility disturbing the lymph flow probably play an important role for the development of PCI.


Copyright © 1978, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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