Management of pneumatosis cystoides intestinalis with pneumoperitoneum: 5-years systematic review.

Autores

Palavras-chave:

Pneumatosis Cystoides Intestinalis, Pneumoperitoneum, Mesenteric Ischemia

Resumo

Summary

Background: Pneumatosis Cystoides Intestinalis (PCI) is a rare condition, characterized by gas-filled cysts in the intestinal wall. Rarely, it may also involve other places, such as the mesentery. It is classified as primary and secondary and associated with multiple predisposing factors. Its differential diagnosis is mesenteric ischemia.

Methods: We conducted a systematic literature review according to PRISMA statement. PubMed and LILACS databases were searched for articles published between January 2015 and December 2020. The subject headings were "Pneumatosis cystoides intestinalis" and "pneumoperitoneum", "pneumatosis intestinalis" and "pneumoperitoneum" or "mesenteric pneumatosis".

Results: 51 articles with 58 patients with PCI and pneumoperitoneum were included. Most patients were male and the average age was 64.9 years. The idiopathic etiology was recorded in 29.31% and the most common predisposing factor were immune dysfunction (28.3%). 24.13% were asymptomatic and the most commons symptoms were abdominal pain (43.1%), nausea and vomiting (41.37%) and abdominal distention (37.93%). Diagnostic surgery was performed in 26 patients (44.8%). Just one patient underwent to surgery with treatment intent.

Conclusion: PCI is a benign disease that can be confused with a potentially fatal condition, mesenteric ischemia. Treatment is conservative, with periodic clinical evaluations. Surgical procedure is usually not necessary for the diagnosis or management of PCI. 

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Biografia do Autor

Rodrigo Piltcher-da-Silva, Hospital Nossa Senhora das Graças, Curitiba, Brazil.

Division of General and Digestive Surgery

M.D.

Vivian Laís Sasaki, Hospital Nossa Senhora das Graças, Curitiba, Brazil.

Division of General and Digestive Surgery

M.D.

Felipe Melloto Gallotti, Hospital Nossa Senhora das Graças, Curitiba, Brazil.

Division of General and Digestive Surgery

M.D.

Bruna Freitas Saenger, Hospital Nossa Senhora das Graças, Curitiba, Brazil.

Division of General and Digestive Surgery

M.D.

Mariana Piltcher-Recuero, Hospital Nossa Senhora das Graças, Curitiba, Brazil.

Division of General and Digestive Surgery

M.S.

Gabriela de Melo Rocha, Hospital Nossa Senhora das Graças, Curitiba, Brazil.

Department of Radiology

M.D.

Marco Aurélio Raeder da Costa, Hospital Nossa Senhora das Graças, Curitiba, Brazil.

Division of General and Digestive Surgery

M.D. Ph.D.


Júlio Cezar Uili Coelho, Hospital Nossa Senhora das Graças, Curitiba, Brazil.

Division of General and Digestive Surgery

M.D. Ph.D.

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Publicado

2022-07-29

Como Citar

1.
Piltcher-da-Silva R, Sasaki VL, Gallotti FM, Saenger BF, Piltcher-Recuero M, Rocha G de M, da Costa MAR, Coelho JCU. Management of pneumatosis cystoides intestinalis with pneumoperitoneum: 5-years systematic review. Clin Biomed Res [Internet]. 29º de julho de 2022 [citado 2º de dezembro de 2022];42(2). Disponível em: https://seer.ufrgs.br/index.php/hcpa/article/view/119917

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Revisão Sistemática

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