Ruiz-Cabello M, Rodrigo-Moreno M, Martínez Salmerón J, Lacárcel Fernández E, Llavero Villar R, Pérez Martínez J
Rev Esp Enferm Apar Dig. 1989 Oct;76(4):401-4.
We present the case of a 63-year-old female who with no previous history presented with episodes of self-limited diarrhea without fever, general repercussions, abnormal elements or tenesmus. Biochemistry: no abnormality. Parasite and feces culture: negative. Colonoscopy: at 20 to 40 cm from the anal margin were found polypoid lesions covered with normal mucosa. Barium enema confirmed the presence of multiple lacunar defects and possible parietal gas. Biopsy: submucous cysts with foreign body type giant cells. Mixed infiltrate. The differential diagnosis was made between intestinal enterogenous cyst, lymphangioma, retractable mesenteritis and deep cystic colitis, concluding with pneumatosis coli that evolved favorably.
我们报告一例63岁女性病例，该患者既往无病史，出现自限性腹泻，无发热、全身反应、异常成分或里急后重。生化检查：无异常。寄生虫和粪便培养：阴性。结肠镜检查：在距肛缘20至40厘米处发现有息肉样病变，表面覆盖正常黏膜。钡剂灌肠证实存在多个腔隙性缺损及可能的肠壁积气。活检：黏膜下囊肿伴异物型巨细胞。混合性浸润。鉴别诊断考虑了肠源性囊肿、淋巴管瘤、退缩性小肠炎和深部囊性结肠炎，最终诊断为结肠积气症，病情呈良性发展。
