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作 者:Eric Bergeron Maude Pichette Geneviève Boisvert Thibaut Manière Étienne Désilets
机构地区:[1]Department of Surgery,Charles LeMoyne Hospital,Greenfield Park J4V 2H1,Quebec,Canada [2]Department of Medical Imaging,Charles LeMoyne Hospital,Greenfield Park J4V 2H1,Quebec,Canada [3]Department of Gastroenterology,Charles LeMoyne Hospital,Greenfield Park J4V 2H1,Quebec,Canada
出 处:《World Journal of Clinical Cases》2024年第17期3161-3167,共7页世界临床病例杂志
摘 要:BACKGROUND Pneumatosis cystoides intestinalis(PCI),characterized by a collection of gas-filled cysts in the intestinal wall,is an uncommon but well-known condition in gastroenterology.Abdominal pain is the most frequent symptom associated with PCI.Intussusception represents a potential cause of recurrent abdominal pain or emergency presentation.However,the occurrence of colonic intussusception secondary to PCI is very unusual in adulthood.CASE SUMMARY A 52-year-old male,known with idiopathic PCI,presented seventeen months after initial diagnosis with a new right upper quadrant pain.A computed tomographyscan demonstrated a colonic intussusception at the hepatic flexure.PCI did not progress compared with initial investigation.The patient underwent an emergency right hemicolectomy.CONCLUSION Resection was recommended in this case because PCI proved to be persisting with no identified curable cause.Surgery allowed to address the underlying pathology,the potential relapse of intussusception,and the likely cause of recurrent abdominal pain,either invagination or PCI itself.
关 键 词:Pneumatosis cystoides intestinalis Colonic intussusception Colonic obstruction COLONOSCOPY Case report
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