Giant bulla in pneumatosis cystoides intestinalis.
In pneumatosis cystoides intestinalis the air sacs are generally small and the mesentery is rarely involved. We describe a 23-year-old woman with mixed connective tissue disease and known esophageal ulcer who developed hematemesis and abdominal distention. Colonoscopy showed pneumatosis coli. A computed tomography (CT) scan showed a 23 cm gas-filled mass, presumably a mesenteric bulla. A conservative approach was elected and the patient's gastrointestinal symptoms improved though there was no change in the size of the bulla 3 weeks later.
Department of Medicine, Creighton University School of Medicine, Omaha, Nebraska 68131.
S J
SJ
Lanspa
M W
MW
Liu
H J
HJ
Jenkins
D000328:Adult; D001768:Blister / Q000000981:diagnostic imaging / Q000453:epidemiology; D003106:Colon / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D007421:Intestine, Small / Q000000981:diagnostic imaging; D008643:Mesentery / Q000000981:diagnostic imaging*; D011006:Pneumatosis Cystoides Intestinalis / Q000150:complications / Q000000981:diagnostic imaging*; D011859:Radiography