Brighi M, Vaccari S, Lauro A, D'Andrea V, Pagano N, Marino IR, Cervellera M, Tonini V. "Cystamatic" Review: Is Surgery Mandatory for Pneumatosis Cystoides Intestinalis?
Dig Dis Sci 2019;
64:2769-2775. [PMID:
31410751 DOI:
10.1007/s10620-019-05767-4]
[Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
INTRODUCTION
Pneumatosis cystoides intestinalis (PCI) is a rare condition characterized by the presence of intramural gas cysts within the small and large intestines. We describe a case of a 70-year-old man admitted to the Emergency Surgery Department for PCI who was treated conservatively.
AREAS COVERED
We reviewed 60 cases of PCI described in the international literature over the last 5 years. From our analysis, it appears that the etiology of the gas production within the submucosa or the subserosa of the gastrointestinal tract is still unknown. The rupture of the cysts can lead to pneumoperitoneum that can simulate a surgical emergency.
EXPERT COMMENTARY
For patients with PCI, a conservative approach is the treatment of choice, with surgery mandatory only for complicated disease.
Collapse