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A Journal on Surgery

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Chirurgia 2001 April;14(2):115-8

language: Italian

A case of pneumatosis cystoides of the sigmoid. Clinical and etiopathogenetic observations

Zuccon W., Caputo P. P., Faccini M., Gavezzoli D., Manelli A., Bonandrini L.

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The authors report a case of pneumatosis cystoides of the sigmoid, occasionally observed in a patient operated for abdominal aortic aneurysm. This is a rare pathology, which is more frequent in adults and has a favourable prognosis in comparison with the same pathology in children. It is possible to divide it into a primary and a secondary form; it has normally an asymptomatic course unless intrinsic complicating diseases or diseases due to the associated pathology are present. The pneumatosis is characterised by multiple gas-filled cysts in the submucosa and/or subserous layer of the intestinal wall. The clinical characteristics are reported and compared with the etiopathogenetic theories on the basis of the literature data; the pathogenetic mechanism of the case presented in this paper is also suggested.

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