The appearance of free-air in the abdomen with related pneumatosis cystoides intestinalis: Three case reports and review of the literature

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dc.authorid0000-0001-6758-7289
dc.authorid0000-0001-8707-5301
dc.authorid0000-0001-9111-2734
dc.authorscopusid35791793300
dc.authorscopusid36134374200
dc.authorscopusid56462631800
dc.authorscopusid55449729600
dc.authorscopusid24398544300
dc.authorscopusid55973499500
dc.authorscopusid55624501100
dc.authorwosidAZİRET, MEHMET/I-5483-2014
dc.authorwosidCetinkunar, Suleyman/AFP-2813-2022
dc.authorwosidirkorucu, oktay/AAL-7383-2020
dc.contributor.authorAziret, Mehmet
dc.contributor.authorErdem, Hasan
dc.contributor.authorÜlgen, Yiğit
dc.contributor.authorKahramanca, Sahin
dc.contributor.authorÇetinktinar, Stileyman
dc.contributor.authorBozkurt, Hilmi
dc.contributor.authorIrkorucu, Oktay
dc.contributor.authorBali, İlhan
dc.date.accessioned2022-05-11T14:34:54Z
dc.date.available2022-05-11T14:34:54Z
dc.date.issued2014
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalı
dc.description.abstractINTRODUCTION: Pneumatosis sistoides intestinalis (PSI) is a rare condition with unknown origin, defined as the appearance of gas-filled cysts in the intestinal wall. It usually occurs due to respiratory infections, tumor or collagen disease, traumas, immunosuppression. PRESENTATION OF CASE: Three patients with PSI were examined that followed up and treated in our clinic. The first patient was hospitalized for emergency treatment of previously diagnosed free-air under the diaphragm. He had a defense on physical examination and free-air was detected in X-ray and abdomen CT. We decided to laparatomy and peroperatively, stenotic pylorus with an abnormally increased stomach and gas-filled cysts were seen in the terminal ileum. Antrectomy and gastrojejunostomy with partial ileum and cecum resection and end ileostomy were performed. The second patient underwent laparatomy because of intraperitoneal free-air and acute abdomen. Partial ileum and cecum resection and ileotransversostomy were performed. The third patient with intraperitoneal free-air was treated with antibiotics, oxygen treatment and bowel rest. DISCUSSION: PSI is usually asymptomatic. Plain radiographs, USG, CT, upper gastrointestinal endoscopy, colonoscopy can use for diagnosis. Treatment of PSI depends on the underlying cause; include elemental diet, antibiotics, steroids, hyperbaric oxygen therapy and surgery. CONCLUSION: In patients with asymptomatic and symptomatic PSI are different treat. Symptomatic PSI can be safely treated antrectomy and gastrojejunostomy with partial ileum and cecum resection. (C) 2014 The Authors. Published by Elsevier Ltd. on behalf of Surgical Associates Ltd. This is an open access article under the CC BY-NC-SA license.
dc.identifier.doi10.1016/j.ijscr.2014.09.031
dc.identifier.endpage913
dc.identifier.issn2210-2612
dc.identifier.issue12en_US
dc.identifier.pmid25460434
dc.identifier.scopus2-s2.0-84919946493
dc.identifier.scopusqualityQ3
dc.identifier.startpage909
dc.identifier.urihttps://doi.org/10.1016/j.ijscr.2014.09.031
dc.identifier.urihttps://hdl.handle.net/20.500.11776/8137
dc.identifier.volume5
dc.identifier.wosWOS:000219573800008
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorBali, İlhan
dc.language.isoen
dc.publisherElsevier Sci Ltd
dc.relation.ispartofInternational Journal of Surgery Case Reports
dc.relation.publicationcategoryDiğeren_US
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectGas-filled cysts
dc.subjectPneumatosis sistoides intestinalis
dc.subjectTerminal ileum
dc.titleThe appearance of free-air in the abdomen with related pneumatosis cystoides intestinalis: Three case reports and review of the literature
dc.typeReview Article

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