高压氧治疗后肠壁积气的计算机断层结肠成像：一例报告
Computed tomography colonography imaging of pneumatosis intestinalis after hyperbaric oxygen therapy: a case report.
作者信息
Frossard Jean-Louis, Braude Philippe, Berney Jean-Yves
机构信息
Service of Gastroenterology and Hepatology, Geneva University Hospital, Rue Gabrielle Perret-Gentil 4, 1211 Genève 14, Switzerland.
出版信息
J Med Case Rep. 2011 Aug 15;5:375. doi: 10.1186/1752-1947-5-375.
INTRODUCTION
Pneumatosis intestinalis is a condition characterized by the presence of submucosal or subserosal gas cysts in the wall of digestive tract. Pneumatosis intestinalis often remains asymptomatic in most cases but may clinically present in a benign form or less frequently in fulminant forms. Treatment for such conditions includes antibiotic therapy, diet therapy, oxygen therapy and surgery.
CASE PRESENTATION
The present report describes the case of a 56-year-old Swiss-born man with symptomatic pneumatosis intestinalis resistant to all treatment except hyperbaric oxygen therapy, as showed by computed tomography colonography images performed before, during and after treatment.
CONCLUSIONS
The current case describes the response to hyperbaric oxygen therapy using virtual colonoscopy technique one month and three months after treatment. Moreover, after six months of follow-up, there has been no recurrence of digestive symptoms.
引言
肠壁积气是一种以消化道壁黏膜下或浆膜下出现气体囊肿为特征的病症。在大多数情况下，肠壁积气通常无症状，但临床上可能以良性形式出现，或较少见地以暴发性形式出现。此类病症的治疗方法包括抗生素治疗、饮食治疗、氧气治疗和手术治疗。
病例报告
本报告描述了一名56岁瑞士出生男性的病例，该患者患有有症状的肠壁积气，除高压氧治疗外，对所有治疗均耐药，治疗前、治疗期间和治疗后的计算机断层扫描结肠造影图像显示了这一点。
结论
本病例描述了使用虚拟结肠镜技术在治疗后1个月和3个月时对高压氧治疗的反应。此外，经过6个月的随访，消化症状未复发。
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