Costa Mariana, Morgado Carolina, Andrade David, Guerreiro Francisco, Coimbra João
Serviço de Gastrenterologia. Centro Hospitalar de Lisboa Central. Lisboa. Portugal.
Serviço de Cirurgia Geral. Centro Hospitalar de Lisboa Central. Lisboa. Portugal.
Acta Med Port. 2015 Jul-Aug;28(4):534-7. Epub 2015 Aug 31.
Pneumatosis intestinalis, characterized by the presence of gas within the bowel wall, is an uncommon condition with variable presentation. It may be idiopathic or secondary to other diseases. A computed tomography scan is the most sensitive method for diagnosis. In the absence of signs and symptoms of complications, such as perforation and peritonitis, pneumatosis intestinalis can be managed conservatively. We present the case of a 59-year-old woman with pneumatosis coli secondary to benign ovary teratoma. After surgery she remained symptomatic and was successfully treated with metronidazole and hyperbaric oxygen therapy.
肠壁积气以肠壁内存在气体为特征,是一种表现多样的罕见病症。它可能是特发性的,也可能继发于其他疾病。计算机断层扫描是最敏感的诊断方法。在没有穿孔和腹膜炎等并发症的体征和症状时,肠壁积气可采用保守治疗。我们报告一例59岁女性因良性卵巢畸胎瘤继发结肠壁积气的病例。手术后她仍有症状,经甲硝唑和高压氧治疗成功治愈。