Journal List > J Korean Surg Soc > v.76(5) > 1010961

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Lee, Jang, Hong, Kim, Lee, Kim, Ryu, Kim, Choi, and Baik: Pneumatosis Cystoides Intestinalis with Intestinal Volvulus
Case Report
Journal of the Korean Surgical Society

Journal of the Korean Surgical Society 2009; 76(5): 321-325.

Published online: 7 May 2009

DOI: https://doi.org/10.4174/jkss.2009.76.5.321

Pneumatosis Cystoides Intestinalis with Intestinal Volvulus

Won Il Lee, M.D., Jeong Jin Jang, M.D., Sung Il Hong, M.D., Hae Sung Kim, M.D., Jeong Hoon Lee, M.D., Han Joon Kim, M.D., Byoung Yoon Ryu, M.D., Hong Ki Kim, M.D., Young Hee Choi, M.D.1, Hong Kyu Baik, M.D.2

Department of Surgery, Chuncheon Sacred Heart Hospital, College of Medicine, Hallym University, Chuncheon, Korea.

1Department of Pathology, Chuncheon Sacred Heart Hospital, College of Medicine, Hallym University, Chuncheon, Korea.

2Department of Surgery, College of Medicine, Hanyang University, Seoul, Korea.

thick@hallym.or.kr

Received 3 August 2008       Accepted 24 November 2008

Copyright © 2009 The Korean Surgical Society

Abstract

Pneumatosis cystoides intestinalis is an uncommon condition characterized by the presence of multiple gas-filled cysts within the wall of the gastrointestinal tract. It is still a poorly understood phenomenon, considered to result from primary mucosal insult from varying causes. However, it is associated with various diseases, including gastroenteral obstructive and connective vascular diseases and even pulmonary or endocrine diseases. Authors report a case of pneumatosis cystoides intestinalis with volvulus in the small intestine that developed in a 44-year-old man without history of any special underlying diseases.

Keywords: Pneumatosis cystoides intestinalis, Intestinal volvulus, Intestial obstruction

Figures and Tables

Fig. 1
Simple abdomen. X-ray. Plain film shows small bowel conglomeration into right subphrenic space and pneumatosis intestinalis.
jkss-76-321-g001
Fig. 2
Abdominal CT. In lung setting, small bowel conglomeration into right subphrenic space and marked pneumatosis intestinalis in small bowel loops are shown (arrow).
jkss-76-321-g002
Fig. 3
Operative field. (A) Small bowel was partially obstructed because of mesenteric volvulus. (B) Mucosa of small intestine was visible grossly.
jkss-76-321-g003
Fig. 4
Microscopic findings (H&E stain). The cut section of intestine shows intact mucosa and muscle layer (arrow) and numerous bullae in the subserosal portion (arrow heads) (×50).
jkss-76-321-g004

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