Rogy M A, Mirza D F, Kovats E, Rauhs R
Department of Surgery I, University of Vienna Medical School, Austria.
Int J Colorectal Dis. 1990 May;5(2):120-4. doi: 10.1007/BF00298485.
Pneumatosis cystoides intestinalis (PCI) is a rare disease usually occurring in association with a large variety of gastrointestinal (GI) and non GI conditions in the majority of cases, although idiopathic PCI is also known to occur. There are two theories regarding the development of these intramural gas cysts--the mechanical and bacterial theories. PCI usually runs a benign course, although fulminant PCI can be present both in infants and adults. The importance of this condition for the surgeon lies in its early recognition, in order to prevent unnecessary surgical intervention, especially when pneumoperitoneum without clinical evidence of peritonitis is encountered. Oxygen therapy has been shown to lead to regression of PCI, although recurrences have been reported. Elemental diets and antimicrobial agents have provided symptomatic relief in a few reported cases. The association of PCI with a wide variety of conditions leads us to conclude that PCI may not be a disease in itself, but a sequel to these varied conditions.
肠壁囊样积气症（PCI）是一种罕见疾病，在大多数情况下通常与多种胃肠道（GI）和非胃肠道疾病相关，不过也有特发性PCI的病例。关于这些壁内气囊肿的形成有两种理论——机械理论和细菌理论。PCI通常呈良性病程，尽管暴发性PCI在婴儿和成人中都可能出现。这种情况对外科医生的重要性在于早期识别，以防止不必要的手术干预，尤其是在遇到无腹膜炎临床证据的气腹时。氧气疗法已被证明可使PCI消退，尽管有复发的报道。在少数报道的病例中，要素饮食和抗菌药物已缓解了症状。PCI与多种疾病的关联使我们得出结论，PCI本身可能不是一种疾病，而是这些不同疾病的后遗症。
