A case of intussesception associated with pneumatosis cystoides intestinalis in ulcerative colotis

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  • 潰瘍性大腸炎経過中に発症した腸管嚢胞様気腫症による腸重積の1例
  • 症例 潰瘍性大腸炎経過中に発症した腸管嚢胞様気腫症による腸重積の1例
  • ショウレイ カイヨウセイ ダイチョウエン ケイカ チュウ ニ ハッショウ シタ チョウカンノウホウヨウキシュショウ ニ ヨル チョウジュウ セキ ノ 1レイ

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Abstract

A 23-year-old man had been treated for ulcerative colitis four years previously and his symptoms had been controlled by oral steroids. An examination for abdominal pain and subsequent abdominal computed tomography found multiple air-filled cysts along the intestinal wall and intussusceptions as well as free air. We diagnosed intussusceptions associated with pneumatosis cystoides intestinalis (PCI). A laparotomy demonstrated ileocolic intussusceptions, and an elastic mass was palpated at the invaginated ascending colon. At post-reduction, intestine necrosis was not observed. The postoperative course was good. PCI slowly regressed and was no longer detectable. The patient had no subsequent problems related to PCI. We report an extremely rare case of intussesception associated with PCI in ulcerative colitis.

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