Oğuz HANÇERLİOĞULLARI, Şahin KAYMAK, Rahman ŞENOCAK, Mehmet Fatih CAN

Endoskopik balon dilatasyonu sonrasında gelişen pnömatozis sistoides intestinalis

Pnömotosis sistoides intestinalis (PSİ), etiyolojisi tam olarak bilinmeyen, gastrointestinal sistemde subserozal ve submukozal gaz dolu kistler ile karakterize nadir görülen bir hastalıktır. Pilor stenozu gibi birçok gastrointestinal sistem hastalığı PSİ’ye eşlik edebilir. Ayrıca cerrahi veya endoskopik travmaya sekonder PSİ olguları da bildirilmiştir. Burada pilor stenozu olan ve endoskopik dilatasyon tedavisi sonrasında yapılan cerrahi tedavi esnasında saptanan PSİ olgusu sunulmuştur.

Pneumatosis cystoides intestinalis after endoscopic balloon dilatation

Pneumatosis cystoides intestinalis (PCI) is a rare disease of unknown etiology that is characterized by subserosal and submucosal gas cysts in the gastrointestinal system. Many gastrointestinal system diseases, such as pyloric stenosis, may be associated with PCI. Cases of PCI secondary to surgery or endoscopic trauma have also been reported. We re ported. Here we present a case of PSI that was detected during surgical treatment with pyloric stenosis and after endoscopic dilatation treatment.

Keywords:

pneumatosis, cystoides, balloon dilatation,

PDF

___

1. Türk E, Karagülle E, Ocak İ, Akkaya D, Moray G, Karın içinde serbest hava görünümü veren pnömatozis intestinalis: Olgu sunumu. Ulusal Travma Acil Cerrahi Dergisi 2006;12:315-7.
2. Du Vernoi JG. Anatomisce Beobachtungen der unter der aussern und innern haut der gedarme eingeschlossenen luft. Phys Med Abhhandl Acad Wissenschin Petersb. 1783;2:182.
3. Vaquerizo P.A.R, Martins A.C, Garcia M.A.L, Colmenarejo B.M, Flores P.R, Pneumatosis cystoides intestinalis. Rev Esp Enferm Dıg. 2006;98:959-61.
4. Akpolat N, Yahşi S, Yekeler H, Bülbüller N, Pnömatozis sistoides intestinalis: Olgu sunumu. T Klin Tıp Bilimleri. 2002;63-6.
5. Heng Y, Schuffler MD, Haggitt RC, Rohrmann CA, Pneumatosis intestinalis: a review. Am J Gastroenterol. 1995;90:1747-58.
6. Rogy MA, Mirza DF, Kovats E, Rauhs R, Pneumatosis cystoides intestinalis (PCI) Int J Colorectal Dis. 1990;120-4.
7. Pieterse AS, Anthony S, Leong Y, Rowland R. The mucosal changes and pathogenesis of pneumatosis cystoides intestinalis. Hum Pathol. 1985;16:683-8.
8. St Peter SD, Abbas MA, Kelly KA. The spectrum of pneumatosis intestinalis. Arch Surg. 2003;138:68-75.
9. Theisen J, Juhnke P, Stein HJ, Siewert JR. Pneumatosis cystoides intestinalis coli. Surg Endosc. 2002;17:157-8.
10. Gagliardi G, Thompson IW, Hershman MJ, Forbes A, Hawley PR, Talbot IC. Pneumatosis coli: a proposed pathogenesis based on study of 25 cases and review of the literature. Int J Colorectal Dis. 1996;11:111-8.
11. Andorsky RI. Pneumatosis cystoides intestinalis after organ transplantation. Am J Gastroenterol. 1990;85:189-94.
12. Knechtle SJ, Davıdoff AM, Rıce RP. Pneumatosis intestinalis surgical management and clinical outcome. Ann Surg. 1990;212:160-5.
13. Eğilmez R, Tuncer E, Türkkan İ, Arıkan G. Pnömatozis kistoides intestinalis (olgu sunumu). Türkiye Ekopatoloji Dergisi. 1999;5:57-60.
14. Schenk P, Madl C, Kramer L, Ratheıser K, Kranz A, Zauner C. Pneumatosis intestinalis with clostridium difficile colitis as a cause acute abdomen after lung transplantation. Dig Dis Sci. 1998;43:2455-8.
15. Galandiuk S, Fazio VW. Pneumatosis cystoides intestinalis. a review of the literature. Dis Colon Rectum. 1986;29:358-63.
16. Tahiri M, Levy J, Alzaid S, Anderson D. An approach to pneumatosis intestinalis: Factors affecting your management. Int J Surg Case Rep. 2015;6:133-7.