Karl T
Chirurgische Klinik der Städtischen Kliniken Karlsruhe, Akademisches Lehrkrankenhaus der Universität Freiburg.
Zentralbl Chir. 2003 Apr;128(4):333-6. doi: 10.1055/s-2003-38799.
Pneumatosis cystoides intestinalis (PCI), also called emphysema intestinalis or colitis cystica is a rare entity of unknown etiology. Characteristic signs can be found in endoscopy. We report the case of a 63 years old man in whom the misinterpretation of the colonoscopic signs resulted in resection of the ascending colon. After surgical therapy the patient is up to now asymptomatic with no signs of recurrence. Treatment of PCI is necessary only in symptomatic cases. The first choice of treatment is oxygen therapy in combination with metronidazole for six weeks. High recurrence rates are found with either oxygen treatment or antibiotic application alone. Surgical therapeutic intervention is recommended only in cases with serious complications. Limited resection of the affected part of the bowel should be carried out.
肠壁囊样积气症（PCI），也称为肠气肿或囊性结肠炎，是一种病因不明的罕见病症。在内镜检查中可发现特征性体征。我们报告一例63岁男性病例，其结肠镜检查体征被误诊，导致升结肠被切除。手术治疗后，患者至今无症状，无复发迹象。PCI仅在有症状的病例中需要治疗。治疗的首选是氧疗联合甲硝唑，持续六周。单独进行氧疗或应用抗生素时复发率都很高。仅在出现严重并发症的情况下才建议进行手术治疗干预。应切除肠道受影响部分的有限区域。
