Pneumatosis intestinalis with obstructing intussusception:A case report and literature review

查看全文 作　　者：Yujiro [1]Itazaki;Hironori [1]Tsujimoto;Nozomi [1]Ito;Hiroyuki [1]Horiguchi;Shinsuke [1]Nomura;Kyohei [1]Kanematsu;Shuichi [1]Hiraki;Suefumi [1]Aosasa;Junji [1]Yamamoto;Kazuo [1]Hase

机构地区：[1]Department of Surgery,National Defense Medical College

出　　处：《World Journal of Gastrointestinal Surgery》索引2016年第8卷第2期,共6页

基　　金：Supported by JSPS KAKENHI,No.15K10042 摘　　要：Pneumatosis intestinalis(PI) often represents a benign condition that should not be considered as an argument for surgery. We report a patient with PI and obstructing intussusception who underwent urgent colectomy and review the literatures regarding PI with intussusception. A 20-year-old man presented at our hospital with a 3-d intermittent lower abdominal pain history. He underwent steroid therapy for membranoproliferative glomerulonephritis for 4 years. Computed tomography revealed ascending colon intussusception with air within the wall. Intraoperative colonoscopy revealed numerous soft polypoid masses with normal overlying mucosa and right hemicolectomy was performed. Histological examination of colonic wall sections revealed large cysts in the submucosal layer. The pathological diagnosis was PI. Nine cases of intussusception associated with primary PI have been reported. Although primary PI often represents a benign condition that should not be considered as an argument for surgery,if the case involves intussusception and obstruction,emergent laparotomy should be considered. 关键词：PNEUMATOSIS INTESTINALIS INTUSSUSCEPTION URGENT surgery IMMUNOSUPPRESSIVE drug Ischemia of the INTESTINE

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Pneumatosis intestinalis with obstructing intussusception:A case report and literature review

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