Ohashi Hiroyuki, Saida Shin, Ozawa Toshifusa
Department of Surgery, Yamanashi Hospital of Social Insurance.
Nihon Shokakibyo Gakkai Zasshi. 2012 May;109(5):760-5.
A health check up in a 31-year-old man revealed free air under the diaphragm by a chest X-ray. The CT showed marked cystic emphysema along the small intestinal wall, as well as thickening and stenosis of the pyloric wall of stomach. Therefore, we suspected pneumatosis cystoides intestinalis (PCI) with stenosis of the pylorus. Since no perforation of the intestinal tract was diagnosed, it was preserved. Upper G.I. endoscopy showed H2 stage gastric ulcer in the posterior wall of the antrum. Eventually, a diagnosis of PCI with gastric ulcer and stenosis of the pylorus was, which we preserved. We report this rare case here.
一名31岁男性的健康检查通过胸部X光显示膈下有游离气体。CT显示沿小肠壁有明显的囊状肺气肿，以及胃幽门壁增厚和狭窄。因此，我们怀疑是伴有幽门狭窄的肠气囊肿（PCI）。由于未诊断出肠道穿孔，故予以保留。上消化道内镜检查显示胃窦后壁有H2期胃溃疡。最终，诊断为伴有胃溃疡和幽门狭窄的PCI，我们对其进行了保留。在此我们报告这一罕见病例。
