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Dig Dis Sci. 2019 Oct;64(10):2769-2775. doi: 10.1007/s10620-019-05767-4.

"Cystamatic" Review: Is Surgery Mandatory for Pneumatosis Cystoides Intestinalis?

Author information

1
Departments of Emergency Surgery and Gastroenterology, St. Orsola University Hospital, Bologna, Italy.
2
Departments of Emergency Surgery and Gastroenterology, St. Orsola University Hospital, Bologna, Italy. augustola@yahoo.com.
3
Department of Surgical Sciences, La Sapienza University, Umberto I Hospital, Rome, Italy.
4
Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA.

Abstract

INTRODUCTION:

Pneumatosis cystoides intestinalis (PCI) is a rare condition characterized by the presence of intramural gas cysts within the small and large intestines. We describe a case of a 70-year-old man admitted to the Emergency Surgery Department for PCI who was treated conservatively.

AREAS COVERED:

We reviewed 60 cases of PCI described in the international literature over the last 5 years. From our analysis, it appears that the etiology of the gas production within the submucosa or the subserosa of the gastrointestinal tract is still unknown. The rupture of the cysts can lead to pneumoperitoneum that can simulate a surgical emergency.

EXPERT COMMENTARY:

For patients with PCI, a conservative approach is the treatment of choice, with surgery mandatory only for complicated disease.

KEYWORDS:

Conservative management; Pneumatosis cystoides intestinalis; Spontaneous pneumoperitoneum

PMID:
31410751
DOI:
10.1007/s10620-019-05767-4

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