Pneumatosis intestinalis as a manifestation of chronic intestinal volvulus: case report

Ricardo-Raziel Peña-González, Ricardo-Paul Arellano-López, Erick-F. Hernández, Brandon-Rafael Contreras-Díaz, Williams O. Ramírez-Miguel, Eduardo Aguilera-Callejas, Jonathan Quiroz-Alvarez, Gabriela E. Gutiérrez-Uvalle
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Abstract

The pneumatosis cystoides intestinalis (PCI) is a rare disease characterized by presence of gaseous cysts containing nitrogen, hydrogen and carbon dioxide in the intestinal wall that can be idiopathic or associated with other diseases. There are 5 theories about the pathophysiology: mechanic (obstruction), immunosuppression (atrophy of Peyer's patches), bacterial (Clostridium spp.), pulmonary (chronic pulmonary disease) and chemical (exposure to trichloroethylene). The aim of this paper is to present a clinical case of a patient with rheumatic comorbidity admitted to the emergency service and diagnosed with acute abdomen secondary to intestinal volvulus associated with pneumatosis intestinalis.
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作为慢性肠套叠表现的肠道肺炎:病例报告
肠道气囊炎(PCI)是一种罕见的疾病,其特征是肠壁上出现含有氮气、氢气和二氧化碳的气态囊肿,可能是特发性的,也可能与其他疾病有关。病理生理学有五种理论:机械性(阻塞)、免疫抑制(佩耶氏斑萎缩)、细菌性(梭菌属)、肺病(慢性肺病)和化学性(接触三氯乙烯)。本文旨在介绍一例合并风湿病的急诊患者的临床病例,该患者被诊断为继发于肠气胀引起的肠套叠的急腹症。
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