Calabrese Evan, Ceponis Peter Jm, Derrick Bruce J, Moon Richard E
Center for In Vivo Microscopy, Duke University, Durham, North Carolina, USA.
Center for Hyperbaric Medicine, Duke University, Durham, North Carolina, USA.
BMJ Case Rep. 2017 May 30;2017:bcr-2017-219209. doi: 10.1136/bcr-2017-219209.
Pneumatosis intestinalis (PI), or the presence of air in the bowel wall, is a rare disorder that is associated with a variety of underlying diseases, including connective tissue disorders. PI presents on a spectrum from asymptomatic to bowel obstruction and acute abdomen. In general, treatment of PI consists of treating the underlying disease. Both normobaric and hyperbaric oxygen have been used to treat PI directly. Here we report a symptomatic scleroderma-related case of PI that responded clinically to hyperbaric oxygen therapy. This report adds to a growing body of literature supporting a role for hyperbaric oxygen therapy in symptomatic PI.
肠壁积气（PI），即肠壁内存在气体，是一种罕见的疾病，与多种基础疾病相关，包括结缔组织疾病。PI的表现范围从无症状到肠梗阻和急腹症。一般来说，PI的治疗包括治疗基础疾病。常压氧和高压氧都已被用于直接治疗PI。在此，我们报告一例与硬皮病相关的有症状的PI病例，该病例对高压氧治疗有临床反应。本报告增加了越来越多支持高压氧治疗在有症状的PI中作用的文献。
