[A case of pneumatosis cystoides intestinalis: diagnosed by CT colonoscopy].
Pneumatosis cystoides intestinalis (PCI) is a rare condition characterized by multiple gas filled cysts in the intestinal wall. The diagnosis of PCI is usually made by colonoscopy, histology, or radiologic findings. We report a case of PCI in a 35-year-old man. The patient initially complained of watery diarrhea and abdominal bloating for 2 weeks. Simple abdominal X-ray demonstrated numerous, small, round, air densities on the right upper abdomen along the ascending and proximal transverse colon. Colonoscopy revealed numerous, 5-20 mm sized, sessile polypoid, balloon-like distended, protruding subepithelial masses covered with normal colonic mucosa from cecum to proximal transverse colon. We performed a CT colonoscopy and confirmed PCI with multiple air-filled cystic masses along the colonic wall from cecum to proximal transverse colon. The patient was treated with antibiotics and oxygen inhalation for 2 weeks. Follow-up CT colonoscopy revealed marked regression in the number and size of the air-filled cystic masses. Herein, we report the first case of the PCI in Korea diagnosed by CT colonoscopy. Follow-up evaluation with CT colonoscopy was performed after the treatment of the PCI. CT colonoscopy is a useful non-invasive diagnostic tool for the diagnosis of pneumatosis cystoides intestinalis.
Ham
Joo Ho
JH
Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea.
Kim
Tae Ho
TH
Han
Sok Won
SW
Cho
Keun Jong
KJ
Choi
Son Ook
SO
Pack
Jung Sun
JS
Yang
Seong Eun
SE
Kim
Sang Hee
SH
Yang
Seung Ah
SA
Lee
Yune Jeong
YJ
Kim
Eun Sook
ES
Kim
Chang Whan
CW
D000328:Adult; D003108:Colonic Diseases / Q000000981:diagnostic imaging / Q000473:pathology; D023881:Colonography, Computed Tomographic; D006801:Humans; D007413:Intestinal Mucosa / Q000473:pathology; D008297:Male; D011006:Pneumatosis Cystoides Intestinalis / Q000000981:diagnostic imaging / Q000473:pathology*