Godlewski G, Prudhomme M, Tang J, Mattei M, Courtial P, Orcel M, Joujoux J M
Département de Chirurgie digestive et de cancérologie digestive, Hôpital Carémeau, Nîmes.
Chirurgie. 1997;122(8-9):455-62.
Seven cases of pneumatosis cystoides intestinalis affecting the colon (PKC) revealed 5 times by a nonspecific symtomatology and 2 times by an occlusion were reported. In three of the patients the disease was found as a primary idiopathic form free of clinical antecedents. In 4 of the patients the pneumatosis was found to be secondary to a pulmonary disease, a gastric ulcer, a connectivite of a corticotherapy. The PKC was generally diagnosed either by barium enema or by computed tomography and less frequently by colonoscopy with deep biopsy allowing differential diagnosis with colonic polyposis. The mechanism and etiology of the PKC were not fully understood. The illness is a benign condition that often responds to a conservative management--i.e. abstention, oxygenotherapy, diet or antibiotherapy- or exceptionally to surgical colonic resection in case of acute complication.
报告了7例累及结肠的肠壁囊样积气症(PKC),其中5例由非特异性症状发现,2例由肠梗阻发现。3例患者的疾病为原发性特发性形式,无临床既往史。4例患者的肠壁囊样积气症继发于肺部疾病、胃溃疡、皮质激素治疗的结缔组织病。PKC通常通过钡灌肠或计算机断层扫描诊断,较少通过结肠镜深度活检诊断,后者有助于与结肠息肉病进行鉴别诊断。PKC的机制和病因尚未完全明确。该疾病为良性疾病,通常对保守治疗有效,即禁食、氧疗、饮食调整或抗生素治疗,在发生急性并发症时极少数情况下需行结肠手术切除。