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A Journal on Surgery

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Chirurgia 2012 June;25(3):193-5

language: Italian

Cystic pneumatosis of the colon, a rare complicance: intestinal occlusion

Donisi M., Salvati V., Guida F., Antonino A., Cirillo C., Telesca D. A., Sivero L.

Dipartimento di Chirurgia Generale, Geriatrica ed Endoscopia Diagnostica ed Operativa, Università degli Studi di Napoli “Federico II”, Napoli, Italia


The intestinal cystic pneumatosis is a rare disorder characterized by the presence of benign cysts gaseous multiple, localized in the subserosa or submucosa. The etiology is unknown; it is assumed that the cysts are formed for the passage of intestinal gas or gas generators germs, through minimum discontinuity of the intestinal mucosa. The disease is often asymptomatic, and is an incidental finding during a laparotomy. The diagnosis can be made with imaging studies such as plain radiograph abdomen and barium enema, the colonoscopy is essential for the differential diagnosis with other conditions such as adenomatous polyposis or pseudopoliposi secondary to ulcerative colitis. We present the clinical case of a man operated of anterior colonic resection for occlusive stenosis of the sigmoid colon, caused by intestinal pneumatosis.

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