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首页> 外文期刊>Cases Journal >Surgical aspects of pneumatosis cystoides intestinalis: two case reports
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Surgical aspects of pneumatosis cystoides intestinalis: two case reports

机译：肠气肿病的外科手术方面：两例报道

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Introduction Pneumatosis cystoides intestinalis is a rare disease usually caused by an underlying condition. It is defined as air filled cysts within the wall of the gastrointestinal tract. The purpose of this paper is the development of an algorithm for the surgical therapy of PCI based one two case reports. Case presentations A 17-year-old girl with Down syndrome and leucopenia due to chemotherapy for acute lymphatic leukemia was admitted with acute septic conditions and PCI. Explorative laparotomy revealed acute ischemia of the right colon and resection of the affected intestine was performed. After a short interval in the intensive care unit the patient was referred to the pediatric department. The second patient, a 79 year old man, with urothelial carcinoma and carcinoma of the prostate presented a distended abdomen. CT-scan revealed PCI and adhesive strangulation of intestines. Therefore only adhesiolysis was performed and PCI was treated conservatively. Conclusion Only patients with increased inflammatory parameters in laboratory findings or signs of sepsis, peritonitis or bowel perforation in combination with PCI should receive an explorative laparotomy.
机译：引言肠气肿是一种罕见的疾病，通常由潜在疾病引起。它被定义为胃肠道壁内的充气囊肿。本文的目的是开发一种基于一例两例报告的PCI手术治疗算法。病例报告一名17岁的唐氏综合症患者，由于化疗导致的急性淋巴白血病因化疗而白细胞减少，并入有急性感染性疾病和PCI。探索性剖腹手术显示右结肠急性缺血，并切除了受影响的肠。在重症监护室短暂休息后，患者被转诊至儿科。第二例患者是一名79岁的男子，患有尿路上皮癌和前列腺癌，腹部膨大。 CT扫描显示肠的PCI和粘连性绞窄。因此，仅进行了黏附溶解并且对PCI进行了保守治疗。结论只有在实验室检查发现炎症参数增加或脓毒症，腹膜炎或肠穿孔并结合PCI的患者才应接受探索性剖腹手术。

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