A case of pneumatosis cystoides intestinalis

We report a case of a woman in her sixties whose fecal immunochemical testing results were positive during a physical examination. She had been previously diagnosed with chronic gastritis and taking Rikkunshi-Tou. Colonoscopy revealed multiple cystic nodular lesions, with mucosal hyperemia and erosi...

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Published inProgress of Digestive Endoscopy Vol. 102; no. 1; pp. 114 - 116
Main Authors Tosa, Masaki, Takahashi, Seiichi, Ikeda, Tomoyuki, Kusano, Masao, Ikeya, Shinichi
Format Journal Article
LanguageEnglish
Japanese
Published Japan Gastroenterological Endoscopy Society Kanto Chapter 30.06.2023
Online AccessGet full text
ISSN1348-9844
2187-4999
DOI10.11641/pde.102.1_114

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Abstract We report a case of a woman in her sixties whose fecal immunochemical testing results were positive during a physical examination. She had been previously diagnosed with chronic gastritis and taking Rikkunshi-Tou. Colonoscopy revealed multiple cystic nodular lesions, with mucosal hyperemia and erosions in the ascending colon. Prior to nodular lesion removal, we attempted to lift the lesion from the submucosal layer by saline injection until saline spouted from top of the lesion. Next, we snared and partially dissected the lesion. Histopathological finding revealed inflammatory cell infiltration and increased capillary vessels. Furthermore, we dissected the cystic nodular lesion and a hollowed-out cystic wall was visible. Histopathological finding revealed inflammatory cell infiltration but the presence of a cystic wall could not be confirmed. Abdominal CT revealed multiple grape-like gas clusters in the ascending colon. The patient is being followed up regularly.
AbstractList We report a case of a woman in her sixties whose fecal immunochemical testing results were positive during a physical examination. She had been previously diagnosed with chronic gastritis and taking Rikkunshi-Tou. Colonoscopy revealed multiple cystic nodular lesions, with mucosal hyperemia and erosions in the ascending colon. Prior to nodular lesion removal, we attempted to lift the lesion from the submucosal layer by saline injection until saline spouted from top of the lesion. Next, we snared and partially dissected the lesion. Histopathological finding revealed inflammatory cell infiltration and increased capillary vessels. Furthermore, we dissected the cystic nodular lesion and a hollowed-out cystic wall was visible. Histopathological finding revealed inflammatory cell infiltration but the presence of a cystic wall could not be confirmed. Abdominal CT revealed multiple grape-like gas clusters in the ascending colon. The patient is being followed up regularly.
Author Ikeda, Tomoyuki
Tosa, Masaki
Ikeya, Shinichi
Kusano, Masao
Takahashi, Seiichi
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  fullname: Ikeya, Shinichi
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Cites_doi 10.1053/j.gastro.2008.02.078
10.1113/jphysiol.2003.040600
10.1038/45230
10.3748/wjg.v19.i30.4973
10.1113/jphysiol.2006.116160
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