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Pneumatosis Cystoides Intestinalis Accompanied with Sigmoid Volvulus, Report of a Case Mitsuo Maeda 1 1Division of Gastroenterology, Kakogawa Municipal Hospital Keyword: 腸管嚢胞状気腫症 , S状結腸捻転 pp.473-477
Published Date 1990/4/25
DOI https://doi.org/10.11477/mf.1403110768
  • Abstract
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 An 82-year-old male patient was admitted to our hospital complaining of severe abdominal pain and constipation. Abdominal x-ray films demonstrated a greatly distended colon on the left side, indicating a volvulus of the sigmoid colon. He underwent laparotomy and resection of the sigmoid colon about 40 cm in length.

 He had been previously shown to have pneumatosis cystoides intestinalis (PCI) in the sigmoid colon. Barium enema showed a remarkably elongated sigmoid colon, in which many elevated lesions with smooth surfaces in various sizes were seen (Fig. 2). Colonoscopic examination also showed the same lesions with slight redness and erosion (Fig. 3).

 The resected specimens coincided with roentogenological and endoscopic findings and there were many gasfilled cysts in the submucosal layer (Fig. 6).

 The etiology of PCI is not clear. Chronic obstructive pulmonary disease seemed to be one of the etiologies in this case.

 Sigmoid volvulus is also reported to be one of the etiologies of PCI. In Japan, this may be the first report of PCI preceding sigmoid volvulus.


Copyright © 1990, 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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