A Case of Pneumatosis Intestinalis (PI) with Free Air in the Retroperitoneal Space

• Wada Hiroo

  横浜市立市民病院外科

• Nagano Yasuhiko

  横浜市立市民病院外科

• Kito Fumihiko

  横浜市立市民病院外科

• Fukushima Tsuneo

  横浜市立市民病院外科

Bibliographic Information

Other Title

• 後腹膜気腫を併存した腸管気腫症の１例

Abstract

A 78-year-old man admitted for recurrent lung cancer was found on chest X ray to have free air in the peritoneal cavity. He had abdominal distension and tenderness around the right upper or lower abdomen. WBC and CRP were 8, 050/mm³ and 10.2mg/dl. Abdominal X ray and abdominal computed tomography (CT) showed continuous bands of air along the intestinal wall. PI was suspected, however gastrointestinal perforation was not denied because of abdominal tenderness, free air, and rising CRP. Emergency laparotomy showed no ascites but gas-filled multiple cysts along the intestinal wall from the jejunum 170 cm toward the anus of the Treitz ligament to the terminal ileum and mesentery. PI confirmed there was no perforation. CT showed free air in the retroperitoneal space, suggesting that this may have developed from alveolar rupture.

Journal

• Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine)

  Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine) 26 (4), 545-548, 2006

  Japanese Society for Abdominal Emergency Medicine

Keywords

• 腸管気腫症
• 後腹膜気腫

Details

• CRID: 1390282679710541312
• NII Article ID: 130004243478
• NII Article ID: 10018769606
• NII Book ID: AN10426469
• DOI: 10.11231/jaem1993.26.545
• ISSN: 18824781
• ISSN: 13402242
• Web Site: https://search.jamas.or.jp/link/ui/2006204622
• Text Lang: ja
• Data Source:
  • JaLC
  • CiNii Articles
• Abstract License Flag: Disallowed