A Case of Pneumatosis Cystoides Intestinalis in Which Endoscopic Ultrasonography Was Useful for the Diagnosis

Korean J Gastrointest Endosc > Volume 42(2); 2011 > Article

Korean Journal of Gastrointestinal Endoscopy 2011;42(2): 124-126.

내시경 초음파로 진단한 낭성 장기종 1예

강은정ㆍ김진오ㆍ김현건ㆍ이태희ㆍ김완중ㆍ전성곤ㆍ천강일ㆍ이준성

순천향대학교 의과대학 내과학교실, 소화기 연구소

A Case of Pneumatosis Cystoides Intestinalis in Which Endoscopic Ultrasonography Was Useful for the Diagnosis

Eun Jung Kang, M.D., Jin Oh Kim, M.D., Hyun Gun Kim, M.D., Tae Hee Lee, M.D., Wan Jung Kim, M.D., Sung Gon Jun, M.D., Gang Il Cheon, M.D. and Joon Seong Lee, M.D.

Department of Internal Medicine, Institute for Digestive Research, Digestive Disease Center, Soonchunhyang University College of Medicine, Seoul, Korea

Abstract

Pneumatosis cystoides intestinalis (PCI) is an uncommon condition in which submucosal or subserosal gas cysts are present within the bowel wall. We report a case of a 37-year-old man with no medical history. He underwent a colonoscopy for screening purposes, which revealed multiple and variably sized submucosal tumors in the ascending colon. Endoscopic ultrasonographic (EUS) finding showed multiple hyperechogenic regions with distal acoustic shadowing within the submucosa of the ascending colon. A computed tomography scan showed multiple air-filled cystic masses in the ascending colon. EUS appears to be effective for the diagnosis of PCI. (Korean J Gastrointest Endosc 2011;42:124-126)

Key Words: Pneumatosis cystoides intestinalis, Endoscopic ultrasonography

주요어: 낭성 장기종, 내시경 초음파