Laparoscopically asisted subtotal colectomy for idiopathic pneumatosis cystoides intestinalis

Authors

KALA Zdeněk HERMANOVÁ Markéta KYSELA Petr

Year of publication 2006
Type Article in Periodical
Magazine / Source Acta Chirurgica Belgica
MU Faculty or unit

Faculty of Medicine

Citation
Field Surgery incl. transplantology
Keywords Pneumatosis cystoides intestinalis ; oxygenotherapy ; laparoscopy ; colectomy
Description Pneumatosis cystoides intestinalis (PCI) is a rare entity in which gas filled cysts are found within the intestinal wall. Conservative management and the treatment of underlying illnesses are recommended in most patients and surgery is usually indicated when acute and life-threatening complications such as bowel necrosis, perforation or peritonitis appear. The authors report a case of idiopathic pneumatosis cystoides intestinalis which, after repeated failure of conservative treatment including the oxygen therapy in hyperbaric chamber, was successfully treated by laparoscopic subtotal colectomy. A laparoscopically assisted approach proved to be a good indication in subtotal colectomy in cases of PCI that are non-responsive to standard conservative treatment.

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