“Cystamatic” 综述：肠气囊肿症是否必须手术？
"Cystamatic" Review: Is Surgery Mandatory for Pneumatosis Cystoides Intestinalis?
机构信息
Departments of Emergency Surgery and Gastroenterology, St. Orsola University Hospital, Bologna, Italy.
Department of Surgical Sciences, La Sapienza University, Umberto I Hospital, Rome, Italy.
出版信息
Dig Dis Sci. 2019 Oct;64(10):2769-2775. doi: 10.1007/s10620-019-05767-4.
INTRODUCTION
Pneumatosis cystoides intestinalis (PCI) is a rare condition characterized by the presence of intramural gas cysts within the small and large intestines. We describe a case of a 70-year-old man admitted to the Emergency Surgery Department for PCI who was treated conservatively.
AREAS COVERED
We reviewed 60 cases of PCI described in the international literature over the last 5 years. From our analysis, it appears that the etiology of the gas production within the submucosa or the subserosa of the gastrointestinal tract is still unknown. The rupture of the cysts can lead to pneumoperitoneum that can simulate a surgical emergency.
EXPERT COMMENTARY
For patients with PCI, a conservative approach is the treatment of choice, with surgery mandatory only for complicated disease.
简介
气囊肿肠病（PCI）是一种罕见的疾病，其特征是在小肠和大肠的黏膜下或浆膜下存在气囊肿。我们描述了一位 70 岁男性因 PCI 被收入急诊外科的病例，该患者接受了保守治疗。
涵盖领域
我们回顾了过去 5 年国际文献中描述的 60 例 PCI 病例。从我们的分析来看，胃肠道黏膜下或浆膜下气体产生的病因仍不清楚。囊肿破裂可导致模拟外科急症的气腹。
专家评论
对于 PCI 患者，保守治疗是首选，只有在疾病复杂时才需要手术。
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