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[Pneumatosis coli vs. deep cystic colitis].

We present the case of a 63-year-old female who with no previous history presented with episodes of self-limited diarrhea without fever, general repercussions, abnormal elements or tenesmus. Biochemistry: no abnormality. Parasite and feces culture: negative. Colonoscopy: at 20 to 40 cm from the anal margin were found polypoid lesions covered with normal mucosa. Barium enema confirmed the presence of multiple lacunar defects and possible parietal gas. Biopsy: submucous cysts with foreign body type giant cells. Mixed infiltrate. The differential diagnosis was made between intestinal enterogenous cyst, lymphangioma, retractable mesenteritis and deep cystic colitis, concluding with pneumatosis coli that evolved favorably.

Colitis↗

[Air cysts of the colon].

Air cysts in the colon may cause problems in differential diagnosis. This is illustrated by a case report. The etiology and diagnosis are briefly discussed.

Crohn Disease↗

[Intestinal cystic pneumatosis producing an acute pseudoappendicular picture].

The authors present a new case of intestinal cystic pneumatosis that presented with a picture similar to acute appendicitis. The literature was reviewed without finding any case of this form of presentation and the characteristics of the disease are summarized. The advantages of separately classifying cases of necrosing acute enteritis are indicated.

Acute Disease↗

Advanced scleroderma bowel: complications and management.

Severe intestinal hypomotility in scleroderma is an uncommon but difficult management problem. We present a case of advanced scleroderma bowel complicated by colonic pseudo-obstruction, which was dramatically improved by subtotal colectomy. Benign pneumoperitoneum due to pneumatosis cystoides intestinales later developed. Symptoms and the pneumoperitoneum resolved with oxygen therapy and total parenteral nutrition, followed by an elemental diet. Our case illustrates how a judicious combination of medical and surgical therapy can be successful in advanced scleroderma bowel. The pathology and pathogenesis of intestinal scleroderma are reviewed to provide an understanding of these complications and a rationale for management.

Colectomy↗

Pneumoperitoneum without peritonitis.

Usually, pneumoperitoneum is due to perforation of a hollow abdominal organ. In the absence of peritoneal symptoms, pneumoperitoneum may be due to other causes. Two patients with an unnecessary laparotomy for pneumoperitoneum without peritonitis are presented. More knowledge of the less frequent causes of pneumoperitoneum without peritonitis can possibly contribute to refraining from exploratory laparotomy in these cases.

Aged↗