A condition characterized by the presence of multiple gas-filled cysts in the intestinal wall, the submucosa and/or subserosa of the INTESTINE. The majority of the cysts are found in the JEJUNUM and the ILEUM.
A condition with trapped gas or air in the PERITONEAL CAVITY, usually secondary to perforation of the internal organs such as the LUNG and the GASTROINTESTINAL TRACT, or to recent surgery. Pneumoperitoneum may be purposely introduced to aid radiological examination.
Pathological or accidental introduction of air into the retroperitoneal space.
A hypnotic and sedative used in the treatment of INSOMNIA.

Pneumatosis [correction of Pneumocystis] cystoides intestinalis with pneumoperitoneum and pneumoretroperitoneum in a patient with extensive chronic graft-versus-host disease. (1/62)

Pneumatosis cystoides intestinalis is a rare finding of intramural gasfilled cysts in the bowel wall and sometimes free air in the abdomen. A few conditions are reported to cause this disease, one of them being immunosuppression. We describe a 50-year-old Caucasian male with extensive chronic graft-versus-host disease (GVHD) of the gut and skin who developed PCI with pneumoperitoneum and pneumoretroperitoneum. To our knowledge, this is the first report of PCI occurring in a patient with active chronic GVHD which resolved spontaneously.  (+info)

Paralytic ileus accompanied by pneumatosis cystoides intestinalis after acarbose treatment in an elderly diabetic patient with a history of heavy intake of maltitol. (2/62)

An 87-year-old woman, diagnosed with diabetes mellitus at age 73, exhibited abdominal distention and appetite loss in March 1998. She had received acarbose as well as 5 mg per day of glibenclamide and had habitually used about 100 g of maltitol daily from 1997. She was diagnosed as having paralytic ileus accompanied by pneumatosis cystoides intestinalis (PCI). This condition subsided quickly with discontinuation of diet or cessation of acarbose and maltitol usage. The patient's condition appears to be attributable to increased gas levels produced by fermentation of disaccharides and maltitol. Decreased intestinal motility may be a result of pre-existing diabetic autonomic neuropathy and hypothyroidism. The patient's clinical course suggests that paralytic ileus and PCI should be listed as rare side effects of alpha-glucosidase inhibitors and that the drug should be used with great caution for those who consume non-digestive sugar substitutes.  (+info)

Pneumatosis cystoides intestinalis treated with hyperbaric oxygen therapy: usefulness of an endoscopic ultrasonic catheter probe for diagnosis. (3/62)

A 67-year-old woman was admitted to our hospital with a complaint of abdominal pain. Barium enema examination and colonoscopy showed numerous round polypoid lesions covered with normal mucosa in the area from the ascending colon to the splenic flexure. Endoscopic ultrasound examination with an ultrasonic catheter probe revealed a strong echo with distal acoustic shadowing in the third layer of the diseased colonic wall, which suggested the presence of gas in the submucosa. The gaseous cysts disappeared completely after hyberbaric oxygen therapy at 2 to 3 atmospheres absolute (60 minutes, twice a day) for 30 consecutive days.  (+info)

Necrotizing enterocolitis in the newborn: operative indications. (4/62)

Fifty-two premature, low birth weight infants presented mainly in the first week of life with sudden manifestations of intestinal ileus and an x-ray picture of pneumatosis intestinalis. Twenty-two of 32 patients treated with gastric decompression, antibiotics, intensive supportive therapy and intravenous hyperalimentation survived. Twenty other patients had progression of their disease and required operation. Twelve of these patients survived. Review of this material indicated that some medically treated patients might have survived if they had been operated upon. Indications for operation included free perforation and clinical signs of deterioration. Abdominal physical findings and x-rays were not reliable except as signs of far advanced pathology. Confirmation of ascites by paracentesis and gram stain of fluid was helpful when present. If patients were adequately treated and then developed sudden hyponatremia or progressive acidosis, they invariably had gangrenous bowel and required operation. The most striking finding was that a sudden, profound drop in the platelet count to levels below 100,000 reliably predicted the presence of gangrenous bowel and the need for operation. Other clotting studies indicated that disseminated intravascular coagulation is an important accompaniment of NNE with the complication of bowel gangrene prior to perforation. Gastrostomy and resection of involved bowel with staged anastomosis proved to be the most successful form of surgical management. Overall suvival was 66 per cent.  (+info)

Acute pneumatosis cystoides intestinalis following allogeneic transplantation -- the surgeon's dilemma. (5/62)

Pneumatosis cystoides intestinalis (PCI) is still a poorly understood phenomenon, currently considered to result from primary mucosal insult from varying causes. We report a case of severe PCI in a patient with chronic GVHD after bone marrow transplantation (BMT) performed to treat secondary AML. Post BMT, the patient suffered acute intestinal and cutaneous GVHD, eventually developing intestinal and biopsy-proven cutaneous chronic GVHD, which necessitated continuous steroid therapy. Chronic pancreatitis associated with GVHD was diagnosed by explorative surgery in February 2000 on the basis of increasing epigastric discomfort, tumour marker (CA 125) increase and the CT finding of a suspicious mass in the pancreas. Readmission occurred in April 2000 for rapid onset of inferior abdominal pain with distinct peritoneal signs. Relaparotomy, deemed necessary on the grounds of both clinical and radiological findings, revealed marked PCI of the ascending and transverse colon and attached mesentery in an otherwise intact gastrointestinal tract. Post-operative reconvalescence was uneventful, with no clinical or radiological recurrence of PCI in the following 10 months. In the context of a review of the relevant literature, this case report illustrates the complex underlying pathophysiology, and difficulty in making a differential diagnosis and treating PCI.  (+info)

Pneumatosis cystoides intestinalis, four cases of a rare disease. (6/62)

Pneumatosis cystoides intestinalis (PCI) is a disease in which small gas-filled cysts appear in the intestinal wall. Four cases presented here demonstrate the diversity of the associated diseases. In two of the patients constipation probably played a role; in the third patient decreased colonic motility, elevated intestinal pressure and increased mucosal permeability in the context of enteritis treated with codeine was the underlying problem; in the fourth high protein feeding and bowel ischaemia was diagnosed. Various aetiologies are presented in the literature. There is no specific history and physical or laboratory findings do not help to diagnose PCI. Plain abdominal film, ultrasound, computer tomography, magnetic resonance imaging, barium contrast studies and/or endoscopy may be necessary for diagnosis. Therapy is based on enhancing partial oxygen pressure in the bowel wall. PCI usually runs a benign course.  (+info)

Pneumatosis intestinalis associated with immune-suppressive agents in a case of minimal change disease. (7/62)

We report treatment of a 38-year-old man with minimal change disease (MCD) who developed pneumatosis intestinalis (PI) during administration of immune-suppressive agents. His immunosuppressive medication had been tapered to 15 mg/day of prednisolone. MCD was steroid-resistant type. Abdominal examination and laboratory studies were not clinically remarkable. Radiologic findings were consistent with PI. Abnormal air accumulation was noted in the bowel, peritoneum, mediastinum and retroperitoneum. Conservative therapy with oxygen and metronidazole improved the PI symptoms. In 1993, a case of PI with nephrotic syndrome following steroid treatment was reported in Japan. However this is only the second case reported in the literature, and the first in English.  (+info)

Primary pneumotosis cystoides intestinalis. (8/62)

We describe an unusual case of pneumatosis cystoides intestinalis (PCI) in a patient with chronic pulmonary disease. A 79-year-old woman was hospitalized due to abdominal fullness and bowel habit change. Colonoscopy revealed numerous round cystic lesions in the sigmoid colon, which bled easily on contact. Due to persistent local peritonitis, a left hemicolectomy with primary anastomosis was performed. The patient has done well in the 12 months following surgery.  (+info)

Pneumatosis Cystoides Intestinalis (PCI) is a condition characterized by the presence of multiple submucosal or subserosal cystic lesions filled with gas within the wall of the small or large intestine. These gas-filled cysts can also involve the mesentery and serosa of the bowel.

The exact pathogenesis of PCI is not fully understood, but it has been associated with various conditions such as chronic obstructive pulmonary disease (COPD), inflammatory bowel disease (IBD), immunodeficiency disorders, intestinal infection, and following abdominal surgery.

In many cases, PCI may be asymptomatic and discovered incidentally during imaging studies or endoscopy. However, some patients with PCI may present with symptoms such as abdominal pain, diarrhea, bloating, nausea, vomiting, or even bowel obstruction. The diagnosis of PCI is usually made through radiologic imaging studies such as X-ray, CT scan, or MRI.

Treatment of PCI depends on the underlying cause and severity of symptoms. In some cases, no specific treatment may be necessary, while in others, treatment may involve addressing the underlying condition, such as managing IBD or COPD. Surgery may be required in severe cases where there is bowel obstruction, perforation, or ischemia.

Pneumoperitoneum is a medical condition characterized by the presence of free air or gas within the peritoneal cavity, which is the space between the lining of the abdominal wall and the internal organs. This accumulation of air can occur due to various reasons such as perforation of an organ (e.g., stomach, intestine, or esophagus), recent surgery, or medical procedures involving the introduction of air into the abdomen.

The presence of pneumoperitoneum is often diagnosed through imaging techniques like X-rays or computed tomography (CT) scans, which can reveal the presence of free gas in the peritoneal cavity. The condition may require prompt medical attention, depending on the underlying cause and the patient's symptoms. Treatment typically involves addressing the underlying cause, such as repairing a perforation or managing an infection.

Retropneumoperitoneum is a medical condition where there is free air present in the retropenitoneal space, which is the area between the parietal peritoneum (the lining of the abdominal wall) and the visceral peritoneum (the lining of the abdominal organs). This accumulation of air can occur due to various reasons such as perforation of an intra-abdominal organ, abdominal trauma, or certain medical procedures. It is often detected on imaging studies like X-ray or CT scan and may require urgent surgical intervention depending on the underlying cause.

Chloral hydrate is a sedative and hypnotic medication, which means it can help to promote sleep and reduce anxiety. It is a type of compound called a chloral derivative and works by increasing the activity of a neurotransmitter in the brain called gamma-aminobutyric acid (GABA), which has a calming effect on the nervous system.

Chloral hydrate is available in various forms, including tablets, capsules, and liquid solutions. It is typically used for short-term treatment of insomnia or anxiety, but it may also be used for other purposes as determined by a healthcare provider.

Like all medications, chloral hydrate can have side effects, which can include dizziness, headache, stomach upset, and changes in behavior or mood. It is important to use this medication only as directed by a healthcare provider and to report any unusual symptoms or concerns promptly.

Pneumatosis cystoides intestinalis is another reported side effect.[citation needed] If a patient using an alpha-glucosidase ...
Rarer complications include pneumatosis cystoides intestinalis, or gas pockets in the bowel wall, wide-mouthed diverticula in ...
... (also called intestinal pneumatosis, pneumatosis cystoides intestinalis, pneumatosis coli, or ... pneumatosis intestinalis, and perforation site (arrow) (autopsy) Micrograph showing large bowel wall with pneumatosis cystoides ... a generally benign subset of pneumatosis intestinalis. H&E stain. Braumann C, Menenakos C, Jacobi CA (2005). "Pneumatosis ... Pneumatosis intestinalis in the coronal computed tomography in lung window. It can be seen next to gas entrapment in the bowel ...
... pneumatosis cystoides intestinalis MeSH C06.405.469.818 - protein-losing enteropathies MeSH C06.405.469.860 - rectal diseases ...
"Pneumatosis Cystoides Intestinalis" by people in UAMS Profiles by year, and whether "Pneumatosis Cystoides Intestinalis" was a ... Pneumatosis Cystoides Intestinalis*Pneumatosis Cystoides Intestinalis. *Cystoides Intestinalis, Pneumatosis. *Intestinalis, ... "Pneumatosis Cystoides Intestinalis" is a descriptor in the National Library of Medicines controlled vocabulary thesaurus, MeSH ... Below are the most recent publications written about "Pneumatosis Cystoides Intestinalis" by people in Profiles over the past ...
title = "Pneumatosis cystoides intestinalis, four cases of a rare disease",. abstract = "Pneumatosis cystoides intestinalis ( ... Pneumatosis cystoides intestinalis, four cases of a rare disease. R.J.W.M Rennenberg*, G.H. Koek, P. van Hootegem, R.W. ... Pneumatosis cystoides intestinalis, four cases of a rare disease. / Rennenberg, R.J.W.M; Koek, G.H.; van Hootegem, P. et al. In ... Pneumatosis cystoides intestinalis, four cases of a rare disease. In: Netherlands Journal of Medicine. 2002 ; Vol. 60, No. 1. ...
Two Cases of Pneumatosis Cystoides Intestinalis With Intraperitoneal Free Air ...
Pneumatosis cystoides intestinalis accompanied by intestinal spirochetosis. Pneumatosis cystoides intestinalis accompanied by ... Pneumatosis cystoides intestinalis (PCI) is a rare but well-recognized entity characterized by multiple gas-filled cysts in the ...
Pneumatosis cystoides intestinalis is another reported side effect.[citation needed] If a patient using an alpha-glucosidase ...
Pneumatosis intestinalis, defined as gas in the bowel wall, is often first identified on abdominal radiographs or computed ... Sugihara Y, Okada H. Pneumatosis Cystoides Intestinalis. N Engl J Med. 2017 Dec 7. 377 (23):2266. [QxMD MEDLINE Link]. [Full ... Primary versus secondary pneumatosis intestinalis. Pneumatosis intestinalis occurs in 2 forms. Primary pneumatosis intestinalis ... encoded search term (Pneumatosis Intestinalis Imaging) and Pneumatosis Intestinalis Imaging What to Read Next on Medscape ...
Pneumatosis cystoides intestinalis had developed as a consequence of the obstruction caused by the hernia and perforation had ... Also of interest is the development of pneumatosis cystoides intestinalis (PCI), or subserosal, tense, gas-filled cysts. This ... pneumatosis cystoides intestinalis. Giornale di Chirurgia. 2000; 21(11-12): 444-9 ...
Categories: Pneumatosis Cystoides Intestinalis Image Types: Photo, Illustrations, Video, Color, Black&White, PublicDomain, ...
An abdominal CT examination demonstrated pneumatosis coli and the patient was diagnosed with pneumatosis cystoides intestinalis ... Pneumatosis Cystoides Intestinalis after αGlucosidase Inhibitor Treatment in a Patient with Interstitial Pneumonitis ...
Fujii Y, Takagi I: A case of pneumatosis cystoides intestinalis associated with MRSA enteritis. J Jpn Surg Assoc. 2010, 71: ...
Pneumatosis Cystoides Intestinalis:. There have been rare post-marketing reports of pneumatosis cystoides intestinalis ... Pneumatosis cystoides intestinalis may present with symptoms of diarrhea, mucus discharge, rectal bleeding and constipation. ... If pneumatosis cystoides intestinalis is suspected, discontinue acarbose and perform the appropriate diagnostic imaging. ...
Pnömatosis Sistoides İntestinalis. PneumatosIs CystoIdes IntestInalIs.. Sadece ileıımu tutan bir pnömatozis sistoides ... A case of pneumatosis cystoides intestinalis involving only the ileum is reported with clinical, radyologic, histopathological ... Pnömatosis Sistoides İntestinalis Yüksel Arıkan, Faruk Aksoy, İbrahim Sungur Olgu sunumu Özeti ... intestinalis olgusu klinik, radyolojik, histopatolojik ve laparotomi bulguları ile birlikte sunulmuş ve literatür bilgileri ...
Pneumatosis Cystoides Intestinalis Citations : 7 Combination therapy in Phe508del CFTR: how many will be enough? Citations : 6 ...
pneumatosis cystoides intestinalis DOID:13249 * sigmoid neoplasm DOID:1896 * pylorus cancer DOID:10544 ...
Diagnosis: Pneumatosis cystoides intestinalis Week 416: Case 6. Diagnosis: Granular cell tumor Week 403: Case 1. Diagnosis: ... Diagnosis: Pneumatosis cystoides intestinalis Week 641: Case 1. Diagnosis: AdenomacarcinoidmicrocarcinoidVillous adenoma Week ...
CT Colonography of pneumatosis cystoides intestinalis. Kim, Kyoung Min; Lee, Chang Hee; Kim, Kyeong Ah; Park, Cheol Min ...
Now thats a messed up abdomen! Pneumatosis Cystoides Intestinalis -how does this happen? No one knows, treatment?… https://t. ...
A Rare Cause of Acute Abdomen: Pneumatosis Cystoides Intestinalis. Tolga Kalayc , Murat Kartal. doi: 10.5505/kjms.2022.78045 ...
Hasselgren PO, Engquist S, Sundstrom C. Pneumatosis cystoides intestinalis. A case report. Ann Chir Gynecol 1977; 66:98-101. ...
Pneumatosis cystoides intestinalis - an incidental finding with unpredictable evolution. Marisa D. Santos, Cláudio Silva, Ana ...
Endoscopic ultrasound to diagnose pneumatosis cystoides intestinalis (with video).. https://iris.unito.it/handle/2318/1655101 ...
This medication may rarely cause a serious intestinal condition (pneumatosis cystoides intestinalis).. Tell your doctor right ... Cystoid intestinal pneumatosis. There have been rare post-marketing reports of cystoid intestinal pneumatosis associated with ... Cystic intestinal pneumatosis may present with symptoms of diarrhea, mucus discharge, rectal bleeding, and constipation. ... If cystoid intestinal pneumatosis is suspected, acarbose should be discontinued and appropriate diagnostic tests performed. ...
A PNEUMATOSIS CYSTOIDES INTESTINALIS PATIENT PRESENTED AS AN ACUTE ABDOMEN WITH FREE INTRAPERITONEAL GAS. rfan Co kun, Fatin R ...
Rarely, pneumatosis cystoides intestinalis (PCI), which is characterized by intramural gas in the GI tract, may occur. PCI ...
Case In Point: Pneumatosis Cystoides Intestinalis: An Unusual Radiographic Finding. Preventing Sudden Cardiac Death in Young ...
Intussusception associated with pneumatosis cystoides intestinalis in a male adolescent: A case report. Horiuchi, Yugo; ...
A typical example of such rare lymphatic vessel conditions is a bowel disease referred to as pneumatosis cystoides intestinalis ...
Pneumatosis Cystoides Intestinalis [C06.405.469.778] * Protein-Losing Enteropathies [C06.405.469.818] * Rectal Diseases [ ...
Pneumatosis Cystoides Intestinalis [C06.405.469.778] Pneumatosis Cystoides Intestinalis * Protein-Losing Enteropathies [C06.405 ...
  • [ 3 ] Rarely, emphysematous ureteritis may simulate pneumatosis of the descending or sigmoid colon on plain radiographs. (medscape.com)
  • Pneumatosis cystoides intestinalis (PCI) is a disease in which small gas-filled cysts appear in the intestinal wall. (maastrichtuniversity.nl)
  • Pneumatosis cystoides intestinalis accompanied by intestinal spirochetosis. (bvsalud.org)
  • Pneumatosis cystoides intestinalis (PCI) is a rare but well-recognized entity characterized by multiple gas-filled cysts in the intestinal wall. (bvsalud.org)
  • Magnetic resonance imaging (MRI) may be useful for identifying intestinal ischemia as a cause of pneumatosis. (medscape.com)
  • Computed tomography (CT) scan in a soft-tissue window in a patient with intestinal ischemia demonstrates circumferential small bowel pneumatosis. (medscape.com)
  • Pneumoperitoneum may represent rupture of subserosal cysts in benign primary pneumatosis, or it may occur after perforation in the setting of intestinal necrosis. (medscape.com)
  • Linear or curvilinear gas collections may be seen throughout the intestinal wall in secondary pneumatosis. (medscape.com)
  • Is Pneumatosis Cystoides Intestınalis which is a Rare Cause of Pneumoperitoneum Confused with Intestinal Perforation? (uwi.edu)
  • Pneumatosis intestinalis is usually identified on plain radiographs of the abdomen. (medscape.com)
  • Pneumatosis intestinalis may be complicated by pneumoperitoneum, which can be detected as free air on a simple upright or cross-table lateral view of the abdomen. (medscape.com)
  • Three-dimensional volume-rendered computed tomography (CT) scan in a patient with ischemic bowel demonstrates circumferential small bowel pneumatosis intestinalis. (medscape.com)
  • Primary pneumatosis intestinalis (15% of cases) is a benign idiopathic condition in which multiple thin-walled cysts develop in the submucosa or subserosa of the colon. (medscape.com)
  • A typical example of such rare lymphatic vessel conditions is a bowel disease referred to as pneumatosis cystoides intestinalis in man and some animal species, where several theories are proposed on the causes but none of them have sufficiently explained so far the entire pathologic process. (atlasofscience.org)
  • Intussusception associated with pneumatosis cystoides intestinalis in a male adolescent: A case report. (bvsalud.org)
  • Pneumatosis cystoides intestinalis is an uncommon disease that rarely causes intussusception . (bvsalud.org)
  • Computed tomography revealed intussusception characterized by a crab - finger appearance, and pneumatosis cystoides intestinalis was diagnosed by colonoscopy . (bvsalud.org)
  • Intermittent abdominal pain without diarrhea or hematochezia in male adolescents may represent pneumatosis cystoid-related intussusception , and the addition of low-flow oxygen therapy may help avoid surgery . (bvsalud.org)
  • Plain abdominal radiographs may reveal pseudointestinal obstruction, or rarely pneumatosis cystoides intestinalis. (medscape.com)