ＣＴ‐Ｃｏｌｏｎｏｇｒａｐｈｙが補助診断として有用であった腸管嚢胞状気腫症の１例

• 谷村 修

  高野病院消化器内科

• 野崎 良一

  高野病院消化器内科

• 大湾 朝尚

  高野病院消化器内科

• 山田 一隆

  高野病院消化器外科

• 高野 正博

  高野病院消化器外科

書誌事項

タイトル別名

• A CASE OF PNEUMATOSIS CYSTOIDS INTESTINALIS THAT WAS DIAGNOSED ON TOTAL COLONOSCOPY AND CT-COLONOGRAPHY

抄録

Pneumatosis cystoids intestinalis (PCI) is characterized by the presence of gas retained within the submucosal or subserosal layer of the intestinal wall. A 71-year-old man complained of equivocal abdominal symptoms including abdominal flatulence, diarrhea, and constipation, since the age of 50 years. On total colonoscopy (TCS) and double contrast enema, many cystic elevated lesion, resembling submucosal tumors, were seen in the ascending colon and transverse colon. The same findings were noted on computed tomography colonography. Further more, gas retained within the submucosal tumor-like lesions of the intestinal wall was observed. Based on these findings the diagnosis of PCI was confirmed. The patient is being treated conservatively and there has been no change after one year of follow-up. We found CTC to be useful in non-invasively diagnosing PCI basedon finding intestinal cysts and gas retained within the intestinal wall. Therefore, CTC is indicated to confirm the diagnosis of PCI in patients for whom other examinations are too difficult to do.

収録刊行物

• 日本消化器内視鏡学会雑誌

  日本消化器内視鏡学会雑誌 49 (10), 2706-2711, 2007

  一般社団法人 日本消化器内視鏡学会

キーワード

• 腸管嚢胞状気腫症
• 大腸内視鏡検査

詳細情報

• CRID: 1390282679193830016
• NII論文ID: 130004255015
• NII論文ID: 10019782260
• NII書誌ID: AN00192102
• DOI: 10.11280/gee1973b.49.2706
• ISSN: 18845738
• ISSN: 03871207
• Web Site: https://search.jamas.or.jp/link/ui/2008082609
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可