浆膜下结肠气囊肿1例

One case of subserosa pneumatosis cystoids intestinalis

肠气囊肿症(PCI)是指胃肠道的黏膜下或者浆膜下出现的气体囊肿,随着影像学技术及内镜检查的发展和普及,PCI的报道逐渐增多,但多数报告为黏膜下气囊肿,单纯的浆膜下气囊肿内镜检查不容易发现,报道较少。PCI的主要症状为腹痛、便血、腹泻等,但无明显特异性。囊肿破裂后可出现气腹,腹平片表现为膈下游离气体,临床上可以为无痛性穿孔。此时通过CT等影像学检查做出诊断比较安全、直观,根据患者临床表现可能需要多学科会诊选择适当的治疗手段。

Pneumatosis cystoides intestinalis(PCI)is characterized by gas-filled cysts in the gastrointestinal submucosa or subserosa,with the development and popularization of imaging techniques and endoscopy,reports of PCI are gradually increased,but most reports are submucosa.Endoscopic examination of a simple subserosa PCI is difficult to find,and there are few reports.The main symptoms of PCI can be abdominal pain,hematochezia,diarrhea,etc,but there is no recognizable specificity.The pneumoperitoneum may appear after rupture of the cyst,and X-ray show free gas under diaphragm,which can be painless perforation.It is safe and intuitive to make a diagnosis by CT and other imaging examinations,depending on the patient's clinical performances,a multidisciplinary consultation may be required,and then select treatment.