Korean J Gastrointest Endosc > Volume 30(6); 2005 > Article
Korean Journal of Gastrointestinal Endoscopy 2005;30(6): 336-339.
대장암 수술 후 추적 대장내시경검사에서 발견된 무증상 장관 포상 기종 1예
박인혜·조재희·최창환·이상길·김태일·김호근*·김원호
연세대학교 의과대학 내과학교실 및 소화기병 연구소, *병리학교실
A Case of Pneumatosis Cystoides Intestinalis
In Hae Park, M.D., Jae Hee Cho, M.D., Chang Hwan Choi, M.D., Sang Kil Lee, M.D., Tae Il Kim, M.D., Ho Guen Kim, M.D.* and Won Ho Kim, M.D.
Departments of Internal Medicine, Institute of Gastroenterology and *Pathology, Yonsei University College of Medicine, Seoul, Korea
Abstract
Pneumatosis cystoides intestinalis (PCI) is a rare condition defined as the presence of multiple gas-filled cysts in the wall of gastrointestinal tract. The etiology and pathogenesis of PCI remain uncertain. It is associated with various medicosurgical conditions, including various pulmonary and gastointestinal diseases, connective tissue diseases and endoscopic procedures. The diagnosis is confirmed by endoscopic puncture and biopsy. PCI in adults, for the most part, show a benign clinical course and better prognosis if the associated disease is well controlled. Infantile PCI is more serious condition and especially associated with necrotizing enteritis. The treatment is usually conservative, However surgical intervention is needed when complications such as intussusception, obstruction, bleeding and perforation develope. We experienced a case of PCI found during the follow-up colonoscopy in a patient taken right hemicolectomy and systemic adjuvant chemotherapy due to colon cancer. (Korean J Gastrointest Endosc 2005;30:336⁣339)
Key Words: Pneumatosis cystoids intestinalis, Colonoscopy, Chemotherapy, Hemicolectomy
주요어: 장관 포상 기종, 대장 내시경, 항암치료, 대장절제술
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