A Case of Pneumatosis Cystoides Intestinalis with Free Air in the Abdomen

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  • Ishii Wataru
    Department of Emergency Medicine, Kyoto Second Red Cross Hospital
  • Higaki Satoshi
    Department of Emergency Medicine, Kyoto Second Red Cross Hospital
  • Iiduka Ryouji
    Department of Emergency Medicine, Kyoto Second Red Cross Hospital

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  • 腹腔内遊離ガスを呈した腸管嚢胞様気腫症の1例

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Abstract

An 82-year-old female was referred to our hospital from another institution due to vomiting. No abnormality in her vital signs was noted. However, her abdomen was full and soft, showing no signs of peritonitis. Slight anemia and inflammation were observed, but arterial blood gas analysis showed parameters within their normal ranges. Abdominal X-ray revealed wide-spread dilatation of the intestine, but no free air. Abdominal computed tomography showed a large amount of gas in the intestine, gas in the intestine wall, and free air in the abdomen. Therefore, we diagnosed the patient as having pneumatosis cystoids intestinalis, and started treatment with an intravenous drip and prohibited eating and drinking. After three days of treatment, the patient showed reduced intestinal gas. After four days, colon fiberoscopy showed a normal intestine. She continued to show a favorable recovery, and started oral food intake on the sixth day. Gas in the wall of the intestine and free air decreased based on abdominal computed tomography findingds, and she was transferred to another hospital on the eighth day.

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