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首页> 外文期刊>Surgical Endoscopy >Pneumatosis cystoides intestinalis as a complication of celiac disease.
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Pneumatosis cystoides intestinalis as a complication of celiac disease.

机译：肠气肿是一种腹腔疾病的并发症。

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Pneumatosis cystoides intestinalis (PCI) is an uncommon but important condition characterized by the presence of gas-filled cysts in the submucosa and subserosa of the gastrointestinal tract. PCI has been associated with several clinical settings. We report a case where PCI developed in a patient with known celiac disease. To our knowledge, this type of coincidence has been described in seven prior cases. Since PCI often results in pneumoperitoneum through rupture of the cysts, it is important to differentiate the benign form of pneumoperitoneum, in which no intervention is indicated, from the life-threatening form with intestinal infarction and/or perforation, in which immediate surgery is mandatory. Differentiating between them can be difficu this explains the high rate of negative laparotomy, which, in the past, occurred in 27% of cases. By performing diagnostic laparoscopy, we were able to establish the diagnosis of PCI and exclude intestinal perforation or infarction, thus permitting the patient to avoid an unnecessary laparotomy. Although diagnostic laparoscopy is not routinely indicated as a diagnostic tool for the detection of PCI, it proved to be a safe and accurate method to differentiate between the benign form of PCI and the life-threatening form. Whenever this differentiation has to be made, we recommend that diagnostic laparoscopy be performed first rather than primary laparotomy. Herein, the laparoscopic features of PCI are described and the coincidence of PCI with celiac disease is reviewed.
机译：肠气肿性囊肿（PCI）是一种罕见但重要的疾病，其特征是胃肠道粘膜下层和浆膜下存在充气囊肿。 PCI已与多种临床设置相关联。我们报告了一名患有已知腹腔疾病的患者发生PCI的案例。据我们所知，这种巧合已经在七个先前的案例中进行了描述。由于PCI通常会通过囊肿破裂而导致气腹，因此重要的是要区分良性形式的气腹（不建议干预）和危及生命的形式（肠梗死和/或穿孔），必须立即手术。区分它们可能很困难;这解释了过去曾发生在27％的病例中，剖腹手术阴性率很高。通过进行诊断性腹腔镜检查，我们能够确定PCI的诊断并排除肠穿孔或梗塞，从而使患者避免不必要的剖腹手术。尽管诊断性腹腔镜检查并未常规地指示为检测PCI的诊断工具，但事实证明，它是区分PCI的良性形式和威胁生命的形式的一种安全，准确的方法。每当需要进行这种区分时，我们建议首先进行诊断性腹腔镜检查，而不要进行原发性剖腹手术。在此，描述了PCI的腹腔镜特征，并回顾了PCI与腹腔疾病的巧合。

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