A Case of Pneumatosis Cystoides Intestinalis with Intussusception in a Young Man

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  • Komatsu Takashi
    Department of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University
  • Kumamoto Kensuke
    Department of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University
  • Imaizumi Eiko
    Department of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University
  • Ishii Masatsugu
    Department of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University
  • Hatano Satoshi
    Department of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University
  • Ishibashi Keiichiro
    Department of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University
  • Haga Norihiro
    Department of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University
  • Ishida Hideyuki
    Department of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University

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Other Title
  • 若年男子に発症し腸重積の原因となった腸管囊腫様気腫症の1例

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Abstract

An 18-year-old man was referred to our hospital because of abdominal pain. Abdominal X-ray revealed multiple gaseous lesions in the right-sided colon. Moreover, enhanced computed tomography (CT) showed a multiple concentric ring sign in the transverse colon, leading to the diagnosis of intussusception. We then performed an emergency operation for reduction and searched for the cause of intussusception. The intussusception of ileo-colic type was observed at the transverse colon and was caused by a multiple mass in the right colon and mobile cecum. Therefore ileocecal resection was performed. The masses consisted essentially of cystic gas-filled components. Histopathological findings showed the pneumatosis in the submucosal layer. Although many cases with pneumatosis cystoides intestinalis (PCI) have been reported worldwide, PCI cases with intussusception are relatively rare. In this report, we reviewed previous reports and characterized PCI cases with intussusception.

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