Pneumatosis cystoides intestinalis with pneumoperitoneum in an 87-years-old male patient: a case report

Autor: Rodrigo Piltcher-da-Silva, Vivian Laís Sasaki, Matheus Antonio Chiconelli Zangari, Felipe Melloto Gallotti, Bruna Freitas Saenger, Mariana Piltcher-Recuero, Gabriela de Melo Rocha, Marco Raeder da Costa, Júlio Cezar Uili Coelho
Rok vydání: 2022
Předmět:
Zdroj: Journal of Surgical Case Reports. 2022
ISSN: 2042-8812
Popis: Pneumatosis cystoides intestinalis (PCI) is a rare condition, characterized by gas-filled cysts in the intestinal wall. The mesentery and intra-abdominal ligaments can be affected. PCI is classified as primary or secondary and associated with multiple predisposing factors. An asymptomatic 87-year-old man underwent an abdominal tomography for follow-up of bladder carcinoma. The examination revealed intestinal and mesenteric pneumatosis associated with pneumoperitoneum. At laparoscopy, intestinal and mesenteric pneumatosis without intestinal infarction was identified. He was discharged on the fifth postoperative day. PCI is a benign condition that can be confused with mesenteric ischemia. Treatment is conservative, with periodic clinical evaluations. Surgical procedure is unnecessary for its diagnosis or management.
Databáze: OpenAIRE