Nishimura Jennifer M, Farzaneh Ted, Pigazzi Alessio
Department of Surgery, University of California, Irvine, Orange, CA, USA.
Department of Pathology and Laboratory Medicine, University of California, Irvine, Orange, CA, USA.
J Surg Case Rep. 2017 Jan 17;2017(1):rjw233. doi: 10.1093/jscr/rjw233.
This is a case of a 54-year-old gentleman who presented to an outside hospital emergency department with lower abdominal pain. Computed tomography imaging showed a small amount of intraperitoneal free air and cystic pneumatosis coli. He was admitted, managed conservatively with intravenous antibiotics, and then discharged home after his symptoms improved. Elective laparoscopic sigmoid colectomy was subsequently performed with intraoperative findings of partial sigmoid volvulus and extensive pneumatosis coli of the sigmoid colon. Pneumoperitoneum was determined to be from ruptured intramural cysts. The etiology of pneumatosis coli was likely from chronic sigmoid volvulus.
这是一名54岁男性患者的病例，他因下腹部疼痛前往外院急诊科就诊。计算机断层扫描成像显示腹腔内有少量游离气体和结肠囊样积气。他入院后接受了静脉抗生素保守治疗，症状改善后出院。随后进行了择期腹腔镜乙状结肠切除术，术中发现部分乙状结肠扭转和乙状结肠广泛积气。确定气腹是由壁内囊肿破裂所致。结肠积气的病因可能是慢性乙状结肠扭转。
