TY - JOUR
T1 - A case of chronic intestinal pseudo-obstruction complicated with pneumatosis cystoides intestinalis successfully treated with partial resection of the jejunum
AU - Suzuki, Hideyuki
AU - Shibata, Chikashi
AU - Kinouchi, Makoto
AU - Tanaka, Naoki
AU - Miura, Koh
AU - Naitoh, Takeshi
AU - Ogawa, Hitoshi
AU - Ueno, Tatsuya
AU - Sasaki, Iwao
N1 - Copyright:
Copyright 2012 Elsevier B.V., All rights reserved.
PY - 2012
Y1 - 2012
N2 - 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.
AB - 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.
KW - Chronic intestinal pseudo-obstruction
KW - Pneumatosis cystoides intestinalis
KW - Surgical indications
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U2 - 10.5833/jjgs.45.319
DO - 10.5833/jjgs.45.319
M3 - Article
AN - SCOPUS:84861700826
VL - 45
SP - 319
EP - 325
JO - Japanese Journal of Gastroenterological Surgery
JF - Japanese Journal of Gastroenterological Surgery
SN - 0386-9768
IS - 3
ER -