What Is Pneumatosis Intestinalis?

Intestinal sac disease (PCI) is also called intestinal cystic emphysema, Duvernoy syndrome, intestinal emphysema, abdominal swelling, cystic lymphocytic disease, etc., if it only occurs in the colon, it is also called colonic cystic gas Is a very rare gastrointestinal disease. Intestinal balloon swollen disease is characterized by the presence of multiple inflatable cysts under the mucosa and / or subserosal of the intestinal wall, with inflammation and fibrosis around the cysts. Often secondary to chronic lung disease, pyloric obstruction, intestinal obstruction, etc., a few have no primary disease to be found, the patient's clinical manifestations are quite variable, and sometimes the emergency treatment is due to unbearable abdominal pain.

Basic Information

nickname: Intestinal cystic emphysema, Duvernoy syndrome, intestinal emphysema, abdominal cyst

English name: pneumatosis cystoides intestinalis
Visiting department: Internal medicine
Common symptoms: Lower abdominal pain, soft mucus, diarrhea, and air bubbles

Causes of intestinal cyst

The cause of the balloon cyst is unclear. When the pressure in the intestinal tract increases, the gas in the intestine enters the intestinal wall from the ulcer or ulceration along the tissue space. The cyst looks like a polyp or lymphangioma, with a honeycomb cut surface, connective tissue around the cyst, and the cyst is inaccessible to the intestinal cavity.

Clinical manifestations of intestinal balloon swollen disease

The clinical symptoms are mild, with lower abdominal pain, soft mucus, diarrhea, and air bubbles. Can cause gastrointestinal bleeding, intestinal obstruction, intestinal torsion, pneumoperitoneum and so on.

Intestinal balloon swollen disease

1. The direct signs of X-rays are limited circular gas volume imaging along the double edge of the intestinal wall, or along the long axis of the intestinal canal or scattered arrangement.

2. After filling with barium, there may be sac-like light-transmitting areas with different sizes on the edge of the intestinal wall or in the cavity. Indirect signs may include pneumoperitoneum, mediastinal emphysema, and small intestine or colon.

3. Fiber bowel scopes may have round light blue polyp-like soft tissue masses protruding into the cavity. Biopsy may have venting and see cysts collapse.

Intestinal balloon swollenness diagnosis

According to clinical manifestations, X-ray examination, fiber enteroscopy and biopsy may be vented, and seeing the collapse of cysts can help diagnosis.

Intestinal balloon swell disease treatment

For the treatment of related diseases, hyperbaric oxygen therapy can be used. For severe patients or severe complications, surgical resection is feasible.