肠壁囊样积气症合并大量游离气体，酷似弥漫性腹膜炎穿孔。
Pneumatosis cystoides intestinalis associated with massive free air mimicking perforated diffuse peritonitis.
作者信息
Sakurai Yoichi, Hikichi Masahiro, Isogaki Jun, Furuta Shinpei, Sunagawa Risaburo, Inaba Kazuki, Komori Yoshiyuki, Uyama Ichiro
机构信息
Department of Surgery, Fujita Health University School of Medicine, 1-98 Dengakugakubo Kutsukake-cho, Toyoake Aichi 470-1192, Japan.
出版信息
World J Gastroenterol. 2008 Nov 21;14(43):6753-6. doi: 10.3748/wjg.14.6753.
Abstract
While pneumatosis cystoides intestinalis (PCI) is a rare disease entity associated with a wide variety of gastrointestinal and non-gastrointestinal disorders, PCI associated with massive intra- and retroperitoneal free air is extremely uncommon, and is difficult to diagnose differentially from perforated peritonitis. We present two cases of PCI associated with massive peritoneal free air and/or retroperitoneal air that mimicked perforated peritonitis. These cases highlight the clinical importance of PCI that mimics perforated peritonitis, which requires emergency surgery. Preoperative imaging modalities and diagnostic laparoscopy are useful to make an accurate diagnosis.
摘要
虽然肠气囊肿症（PCI）是一种罕见的疾病实体，与多种胃肠道和非胃肠道疾病相关，但与大量腹腔内和腹膜后游离气体相关的PCI极为罕见，且难以与穿孔性腹膜炎进行鉴别诊断。我们报告了两例与大量腹膜游离气体和/或腹膜后气体相关的PCI病例，这些病例酷似穿孔性腹膜炎。这些病例凸显了酷似穿孔性腹膜炎的PCI的临床重要性，此类情况需要紧急手术。术前影像学检查和诊断性腹腔镜检查有助于做出准确诊断。
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