A Case of Pneumatosis Cystoides Intestinalis of the Ascending Colon

DOI 2 Citations 11 References
  • Ito Isao
    Department of Emergency Medicine, Tokai University School of Medicine
  • Nakamura Tomoki
    Department of Emergency Medicine, Tokai University School of Medicine
  • Motojuku Megumi
    Department of Emergency Medicine, Tokai University School of Medicine
  • Makuuchi Hiroyasu
    Department of Pathology, Tokai University School of Medicine
  • Yamazaki Hitoshi
    Department of Surgery, Tokai University School of Medicine
  • Inokuchi Sadaki
    Department of Emergency Medicine, Tokai University School of Medicine

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  • 上行結腸気腫性腸炎の１例

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Abstract

We report a case of Pneumatosis cystoides intestinalis of the ascending colon associated with portal vein gases following acute drug intoxication. A 19-year-old woman was admitted to our hospital because of acute sleeping drug intoxication and was given medication. We then started a detailed investigation of her severe abdominal pain. Laboratory data showed leukocytosis, and Pneumatosis intestinalis of the ascending colon associated with portal vein gases was observed on the abdominal CT scan. An operation was performed under the diagnosis of suspected panperitonitis. The intraoperative findings showed that the ascending colon was partially congested, and a pneumatosis-like lesion was also observed at the same part of the colon. A right hemicolectomy was performed and the resected specimen microscopically exhibited severe inflammation, congestion and severe edema, and necrotic changes in the submucosal area and numerous gram-positive rods were also present around the pneumatosis. These features are highly suggestive of gas-producing bacterial infection due to ischemic colitis.

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