Pneumatosis Cystoides Intestinalis

摘要: Pneumatosis cystoides intestinalis is characterized by multiple gas cysts in the wall of gastrointestinal tract. Primary pneumatosis extremely rare. In more frequent secondary forms small intestine and right side colon are mainly affected, underlying pathology can be gastrointestinal, pulmonary or immunological. The thin walled break easily. Spontaneous rupture gives rise to pneumoperitoneum. Symptoms nonspecific, associated with other disorders, symptoms may those disease. Complications occur approximately 3% cases include volvulus, intestinal obstruction, hemorrhage, perforation. Pneumoperitoneum occurs these patients, usually association bowel rather than large pneumatosis. represents one few sterile pneumoperitoneum should considered patient free abdominal air but no evidence peritonitis. diagnosis made radiographically plain barium studies. Computed tomography used confirm diagnosis. Visualization has also been described ultrasound. Most published radiological finding have treated conservatively not as a reason for surgery. Surgical intervention indicated only acute complications, such perforation, peritonitis, necrosis, tension Several reports advantages hyperbaric oxygen therapy management intestinalis. It stressed that treatment effective provided it continued until cyst resolution occurred just symptomatic improvement. Disadvantages normobaric excessive amounts 100% required inhaled prolonged periods this produce toxicity