Harris Emily, Giannotti Giovanni
Department of General Surgery, Presence Saint Joseph Hospital, Chicago, IL, USA.
J Surg Case Rep. 2019 Jan 24;2019(1):rjy334. doi: 10.1093/jscr/rjy334. eCollection 2019 Jan.
The etiology of pneumatosis cystoides intestinalis (PCI) is multifactorial and its corresponding treatment is similarly complex. One causation of PCI, is lymphatic disruption. This association is discussed in this case report involving an incident of abdominal lymphangioma and subsequent development of PCI in a 57-year-old female. The purpose of this paper is to further understand the pathology of PCI, specifically as it relates to lymphatic disruption. Furthermore, the purpose of this article is to define a treatment protocol for this disease when it involves lymphatic pathology; i.e. when a surgical vs conservative approach is warranted.
肠气囊肿症(PCI)的病因是多因素的,其相应的治疗同样复杂。PCI的一个病因是淋巴管破裂。本病例报告讨论了这种关联,该报告涉及一名57岁女性发生腹部淋巴管瘤及随后发展为PCI的事件。本文的目的是进一步了解PCI的病理学,特别是与淋巴管破裂相关的病理学。此外,本文的目的是确定当该疾病涉及淋巴病理学(即何时需要手术与保守治疗方法)时的治疗方案。