A case of chronic intestinal pseudo-obstruction complicated with pneumatosis cystoides intestinalis successfully treated with partial resection of the jejunum

Hideyuki Suzuki, Chikashi Shibata, Makoto Kinouchi, Naoki Tanaka, Koh Miura, Takeshi Naitoh, Hitoshi Ogawa, Tatsuya Ueno, Iwao Sasaki

Research output: Contribution to journalArticlepeer-review

Abstract

We report a case of chronic intestinal pseudo-obstruction (CIP) complicated with pneumatosis cystoides intestinalis (PCI), in whom partial resection of the jejunum was effective. A 69-year-old woman under treatment for scleroderma had abdominal distension. We diagnosed CIP with PCI secondary to scleroderma. Her symptoms improved with conservative therapy, however, they deteriorated again as oral intake always caused fever. Therefore, we performed resection of the jejunal segment affected by PCI. After the operation, she was able to ingest orally sufficiently to maintain good nutritional condition. The surgical indications of CIP with PCI secondary to systemic disease such as scleroderma are controversial. If the lesion affected by PCI is localized and oral intake is difficult because of PCI, resection of the affected segment should be considered.

Original languageEnglish
Pages (from-to)319-325
Number of pages7
JournalJapanese Journal of Gastroenterological Surgery
Volume45
Issue number3
DOIs
Publication statusPublished - 2012

Keywords

  • Chronic intestinal pseudo-obstruction
  • Pneumatosis cystoides intestinalis
  • Surgical indications

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

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