腸管嚢腫様気腫症による腸重積の１切除例

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  • A Case of Intussusception Associated with Pneumatosis Cystoides Intestinalis

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Peumatosis cystoides intestinalis (PCI) is a rare disease caused by bowel obstruction, intestinal tract necrosis, or respiratory illness. Intussusception associated with PCI is very rare and, to our knowledge, only 16 cases have been reported worldwide. A 22-year-old man seen for abdominal pain, was found in abdominal plain computed tomography to have multiple air-filled cysts along the intestinal wall and intussusception with a multiple concentric ring sign. Colonoscopy showed that the leading part of the intestinal tract had pneumatosis shaped like a cluster of grapes. From these findings, we diagnosed intussusception associated with PCI and relived the intussusception by colonoscopy. After a relapse on day 31 after intussusception was relived, we conducted right colectomy. The resected specimen was edematous mainly on the ascending colon. The cause of pneumatosis was unknown. The postoperative course was good and he left the hospital on disease day 8.

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