Pneumatosis Cystoides Intestinalis in Patients with Systemic Sclerosis: A Case Report and Review of 39 Japanese Cases
Pneumatosis cystoides intestinalis (PCI) is a rare gastrointestinal complication of systemic sclerosis (SSc) characterized by intramural accumulation of gas within thin-walled cysts. We report the case of an 82-year-old female patient with pneumoperitoneum due to PCI associated with SSc and review t...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2016-01-01
|
| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2016/2474515 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832551911381794816 |
|---|---|
| author | Manabu Kaneko Shin Sasaki Shuzo Teruya Kosuke Ozaki Kazuhiro Ishimaru Emi Terai Hiroshi Nakayama Toshiyuki Watanabe |
| author_facet | Manabu Kaneko Shin Sasaki Shuzo Teruya Kosuke Ozaki Kazuhiro Ishimaru Emi Terai Hiroshi Nakayama Toshiyuki Watanabe |
| author_sort | Manabu Kaneko |
| collection | DOAJ |
| description | Pneumatosis cystoides intestinalis (PCI) is a rare gastrointestinal complication of systemic sclerosis (SSc) characterized by intramural accumulation of gas within thin-walled cysts. We report the case of an 82-year-old female patient with pneumoperitoneum due to PCI associated with SSc and review the features of the 39 Japanese cases. The median patient age was 57 years (range 24–83 years) and the male/female ratio was 1 : 12. In the recent decade, 14 out of 15 cases (93.3%) evaluated with CT scans were diagnosed with PCI. The results suggest that CT scan may be a useful diagnostic tool for detecting PCI. PCI in patients with SSc is usually benign and requires only conservative therapy. However, two patients (5.1%) with signs of peritoneal irritation required surgery. When peritoneal irritation secondary to additional pathology is observed, surgical treatment may be warranted; a precise diagnosis for this condition is therefore essential. |
| format | Article |
| id | doaj-art-de7ecd0346544db4b086d6fc9e2a9d4c |
| institution | Kabale University |
| issn | 2090-6528 2090-6536 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-de7ecd0346544db4b086d6fc9e2a9d4c2025-02-03T06:00:17ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362016-01-01201610.1155/2016/24745152474515Pneumatosis Cystoides Intestinalis in Patients with Systemic Sclerosis: A Case Report and Review of 39 Japanese CasesManabu Kaneko0Shin Sasaki1Shuzo Teruya2Kosuke Ozaki3Kazuhiro Ishimaru4Emi Terai5Hiroshi Nakayama6Toshiyuki Watanabe7Department of Surgery, Omori Red Cross Hospital, 4-30-1 Chuo, Ota-ku, Tokyo 143-8527, JapanDepartment of Surgery, Omori Red Cross Hospital, 4-30-1 Chuo, Ota-ku, Tokyo 143-8527, JapanDepartment of Internal Medicine, Division of Rheumatology, Omori Red Cross Hospital, 4-30-1 Chuo, Ota-ku, Tokyo 143-8527, JapanDepartment of Surgery, Omori Red Cross Hospital, 4-30-1 Chuo, Ota-ku, Tokyo 143-8527, JapanDepartment of Surgery, Omori Red Cross Hospital, 4-30-1 Chuo, Ota-ku, Tokyo 143-8527, JapanDepartment of Surgery, Omori Red Cross Hospital, 4-30-1 Chuo, Ota-ku, Tokyo 143-8527, JapanDepartment of Surgery, Omori Red Cross Hospital, 4-30-1 Chuo, Ota-ku, Tokyo 143-8527, JapanDepartment of Surgery, Omori Red Cross Hospital, 4-30-1 Chuo, Ota-ku, Tokyo 143-8527, JapanPneumatosis cystoides intestinalis (PCI) is a rare gastrointestinal complication of systemic sclerosis (SSc) characterized by intramural accumulation of gas within thin-walled cysts. We report the case of an 82-year-old female patient with pneumoperitoneum due to PCI associated with SSc and review the features of the 39 Japanese cases. The median patient age was 57 years (range 24–83 years) and the male/female ratio was 1 : 12. In the recent decade, 14 out of 15 cases (93.3%) evaluated with CT scans were diagnosed with PCI. The results suggest that CT scan may be a useful diagnostic tool for detecting PCI. PCI in patients with SSc is usually benign and requires only conservative therapy. However, two patients (5.1%) with signs of peritoneal irritation required surgery. When peritoneal irritation secondary to additional pathology is observed, surgical treatment may be warranted; a precise diagnosis for this condition is therefore essential.http://dx.doi.org/10.1155/2016/2474515 |
| spellingShingle | Manabu Kaneko Shin Sasaki Shuzo Teruya Kosuke Ozaki Kazuhiro Ishimaru Emi Terai Hiroshi Nakayama Toshiyuki Watanabe Pneumatosis Cystoides Intestinalis in Patients with Systemic Sclerosis: A Case Report and Review of 39 Japanese Cases Case Reports in Gastrointestinal Medicine |
| title | Pneumatosis Cystoides Intestinalis in Patients with Systemic Sclerosis: A Case Report and Review of 39 Japanese Cases |
| title_full | Pneumatosis Cystoides Intestinalis in Patients with Systemic Sclerosis: A Case Report and Review of 39 Japanese Cases |
| title_fullStr | Pneumatosis Cystoides Intestinalis in Patients with Systemic Sclerosis: A Case Report and Review of 39 Japanese Cases |
| title_full_unstemmed | Pneumatosis Cystoides Intestinalis in Patients with Systemic Sclerosis: A Case Report and Review of 39 Japanese Cases |
| title_short | Pneumatosis Cystoides Intestinalis in Patients with Systemic Sclerosis: A Case Report and Review of 39 Japanese Cases |
| title_sort | pneumatosis cystoides intestinalis in patients with systemic sclerosis a case report and review of 39 japanese cases |
| url | http://dx.doi.org/10.1155/2016/2474515 |
| work_keys_str_mv | AT manabukaneko pneumatosiscystoidesintestinalisinpatientswithsystemicsclerosisacasereportandreviewof39japanesecases AT shinsasaki pneumatosiscystoidesintestinalisinpatientswithsystemicsclerosisacasereportandreviewof39japanesecases AT shuzoteruya pneumatosiscystoidesintestinalisinpatientswithsystemicsclerosisacasereportandreviewof39japanesecases AT kosukeozaki pneumatosiscystoidesintestinalisinpatientswithsystemicsclerosisacasereportandreviewof39japanesecases AT kazuhiroishimaru pneumatosiscystoidesintestinalisinpatientswithsystemicsclerosisacasereportandreviewof39japanesecases AT emiterai pneumatosiscystoidesintestinalisinpatientswithsystemicsclerosisacasereportandreviewof39japanesecases AT hiroshinakayama pneumatosiscystoidesintestinalisinpatientswithsystemicsclerosisacasereportandreviewof39japanesecases AT toshiyukiwatanabe pneumatosiscystoidesintestinalisinpatientswithsystemicsclerosisacasereportandreviewof39japanesecases |