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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2020, Number 4

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An Med Asoc Med Hosp ABC 2020; 65 (4)

Pneumoperitoneum secondary to intestinal cystic pneumatosis

Perzabal ACT, López JCA, Domínguez GBB, Carrera CDL

Language: Spanish
References: 10
Page: 311-314
PDF size: 276.95 Kb.


ABSTRACT

Cystic intestinal pneumatosis is a rare disease, characterized by the presence of aerial cysts on the wall of the gastrointestinal tract. Its distribution is variable and the extraintestinal location is rare. Clinical Case: A 62-year-old female with abdominal pain, nausea and vomiting. On examination, distended abdomen, with pain on palpation in the upper abdomen, without evidence of peritoneal irritation. X-rays of the chest and abdomen were performed, with subdiaphragmatic open air, ileus in the mesogastrium and pneumobilia, the tomography with cystic small intestine pneumatosis and pneumoperitoneum. Cystic intestinal pneumatosis has a prevalence of 0.03%, an overall incidence of 3/10,000 people and is more frequent in men than women. It was first described in 1730 by DuVernoy. Its diagnosis is complex, its clinical evolution is usually chronic and benign, being asymptomatic in most cases. Patients with cystic intestinal pneumatosis represent a diagnostic challenge before the surgeon, given the uncertainty between the imaging findings of the subdiaphragmatic open air and the absence of clinical data on peritoneal irritation.


REFERENCES

  1. Sellés-Dechent R, Zumárraga-Navas P, Ruiz-Del Castillo J. Neumoperitoneo debido a neumatosis quística intestinal. Ci Esp. 2004; 76 (6): 396-399.

  2. Cuevas-Castillejos JE, Valdovinos-Díaz MA. Neumatosis quística intestinal: una causa rara y benigna de dolor y distensión abdominal crónicos con neumoperitoneo. Rev Gastroenterol Mex. 2019; 84 (3): 402-404.

  3. Klimova K, Pérez Valderas MD, Merino Rodríguez B, González Asanza C, Menchén Fernández-Pacheco P. Neumatosis quística intestinal como causa infrecuente de dolor abdominal crónico. Rev Gastroenterol Mex. 2014; 79 (4): 302-303.

  4. Jenkins M, Courtney H, Pope E, Williamson J. A case report and approach to management in pneumatosis intestinalis. Ann Med Surg. 2017; 23: 25-27.

  5. González-Rodríguez F, Puñal-Rodríguez J, Paredes-Cotoré J, Beiras A. Neumoperitoneo espontáneo secundario a neumatosis quística intestinal. Cir Esp. 2009; 86 (2): 111-121.

  6. Dhadlie S, Mehanna D, McCourtney J. Pneumatosis intestinalis a trap for the unwary: case series and literature review. Int J Surg Case Rep. 2018; 53: 214-217.

  7. Itazaki Y, Tsujimoto H, Ito N, Horiguchi H, Nomura S, Kanematsu K et al. Pneumatosis intestinalis with obstructing intussusception: a case report and literature review. World J Gastrointest Surg. 2016; 8 (2): 173-178.

  8. Zuluaga-Santamaría A, MejíaRestrepo J, Uribe-González R, Gutiérrez-Márquez C, Bustamante-Zuluaga C, VegaArango M. Neumatosis intestinal: ¿una urgencia abdominal? Rev CES Med. 2017; 31 (1): 110-118.

  9. Donovan S, Cernigliaro J, Dawson N. Pneumatosis intestinalis: a case report and approach to management. Case Rep Med. 2011; 2011: 571387.

  10. Asquel Cadena VH, Tovar Noroña CE. Neumatosis quística intestinal, como causa infrecuente de neumoperitoneo. Mediciencias UTA. 2020; 4 (1): 21-27.



EVIDENCE LEVEL

IV




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