潰よう性大腸炎の経過中に出現したS状結腸腸管嚢胞様気腫の1例

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  • A Case of Pneumatosis Cystoides Intestinalis Combined with Ulcerative Colitis.

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A 75-years old man treated as ulcerative colitis received fallow-up colonoscopy. Multiple submucosal tumor-like, smooth and elastic-soft hemispherical elevated lesionswere seen in the sigrnoid colon through colonoscopy. Barium enema revealed multiple gascysts in the sigmoid colon. Vie diagnosed this case as pneumatosis cystoides intestinalis ofthe sigmoid colon. We performed endoscopical ultrasonography to evaluate the location of gas cysts inthe colon wall, and the high echoic lesions with acoustic shadows were seen in thesubmucosal layer. In follow-up colonoscopy, multiple elevated Iesions flatten with erosion and bleedingan the top. From these colonoscopic findings, we suspected that gas cysts rupturedspontaneously. In this case, we considered that the gas broke into submucosal layer through themucosa weakened by ulcerative colitis.

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