Laparoscopy-assisted sigmoidectomy for sigmoid volvulus associated with pneumatosis cystoides intestinalis Tomohiro KITAHARA 1 , Taishi HATA 1 , Masakazu MIYAKE 1 , Junzo SHIMIZU 2 , Shunji MORITA 1 , Keizo DONO 1 1Department of Surgery,Toyonaka Municipal Hospital 2Department of Surgery,Osaka Rosai Hospital Keyword: 腸管囊腫様気腫症 , S状結腸軸捻転症 , 腹腔鏡手術 pp.341-345
Published Date 2012/6/15
DOI https://doi.org/10.11477/mf.4426100794
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 We report a patient with sigmoid volvulus associated with pneumatosis cystoides intestinalis (PCI) who was not treated with conservative therapy. A 70-year-old male was admitted for left lower abdominal pain in December 2007. He underwent successful endoscopic decompression for sigmoid volvulus. Pneumatosis cystoides intestinalis (PCI) was detected at this point. In October 2008, December 2008 and March 2009, the patient required repeated endscopic decompression for sigmoid volvulus. Hyperbaric oxygen therapy was performed but there was no improvement in PCI. In April 2009, he, again, experienced sigmoid volvus. We then decided to perform laparoscopy-assisted sigmoidectomy in May 2009. Postoperative course was uneventful and there has been no reccurence of PCI and volvulus.

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