[Colorectal polyps].
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The pneumatosis cystoides intestini (p.c.i.) is a rather uncommon condition, most frequently observed in patients with pulmonary disorders or gastroenterologic diseases. The pathology and etiology of p.c.i. are shortly discussed. According to an angiographic finding this report illustrates a case of disease for which a chronic ischemic etiology is supposed. The importance of radiologic diagnosis of p.c.i. is emphasized and the necessity of a larger indication for angiography considered.
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Pneumatosis coli it is usually benign disease, etiology is still obscure. It can be asymptomatic. Surgery is indicated if are potential complications. Pneumatosis coli characterized by multiple gas-filled cysts present in the submucosa and subserosa. The size of cysta varies between 0.5 and 3 cm. Cysts can occur anywhere along the gastrointestinal tract, but most common are in the small bowel. They occur more frequently in the left than in the right colon. We show a rare case of pneumatosis coli which was compicated of necrosis sigmoid, perforation and diffuse peritonitis.
A large focus of cystic intestinal pneumatosis appeared as an accidental finding in a 59-year-old man suffering from obstructive lung disease, with cor pulmonale as the cause of death. The gas pseudocysts were found in the submucosa, muscularis propria and in the subserosal space. The pseudocysts were lined by flattened cells of connective tissue origin with presence of occasional macrophages. We believe that the lesion started by focal damage of the mucosal membrane, which was followed by penetration of stool particles with microbes into the submucosa. E. coli and Morganella morgani are the probable producers of the gas bullets.
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An analysis is done on the description of lupus erithematous and its diagnostic criteria, while emphasizing abdominal manifestations, its variations as well as the importance in its early detection for opportune treatment. Three patients with intestinal pneumatosis, pancreatitis and intestinal perforation, are described.
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We present a case of pneumatosis cystoides of the stomach and intestine, secondary to peptic pyloric ulcer with duodenal stenosis. Clinical symptoms consisted of abdominal pain and intense vomiting; diagnosis was suspected in the radiologic examination of the abdomen (plain film), which showed and abnormal pattern of gas distribution, and later confirmed by barium contrast. The surgical correction of the underlying cause made the lesion disappear. We also review the etiology, pathogenesis, clinical manifestations, diagnosis and treatment of this rare condition.