Pneumatosis cystoides intestinalis as a pathologic lead point of an ileocolic intussusception: A case report

IF 0.2 Q4 PEDIATRICS
Teren W.A. Culbertson , David P. Bliss Jr.
{"title":"Pneumatosis cystoides intestinalis as a pathologic lead point of an ileocolic intussusception: A case report","authors":"Teren W.A. Culbertson ,&nbsp;David P. Bliss Jr.","doi":"10.1016/j.epsc.2025.102984","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><div>Ileocolic intussusception is an acute intestinal obstruction that requires prompt diagnosis and treatment. This case presents a rare pathologic lead point for ileocolic intussusception.</div></div><div><h3>Case presentation</h3><div>A nine-year-old female with a history of functional abdominal pain and constipation presented to the emergency department with acute abdominal pain, bilious emesis and one episode of non-bloody diarrhea. Abdominal x-rays were concerning for a bowel obstruction and an abdominal ultrasound showed an intussusception of unclear location. Subsequent abdominal/pelvic computerized tomography scan identified an ileocolic intussusception with pneumatosis cystoides intestinalis (PCI) acting as a pathologic lead point. The patient underwent two air enema reduction procedures that were deemed to be incomplete. As a result, a diagnostic laparoscopy was performed, which confirmed PCI and identified a previously reduced ileocolic intussusception. Post-operatively, she completed a seven-day course of oral metronidazole and had an unmarkable recovery. At a three-week follow-up visit, persistent PCI was present on abdominal radiographs, which resolved after an additional 14-day course of metronidazole. Further outpatient evaluation revealed no other potential lead points other than that of the known PCI.</div></div><div><h3>Conclusion</h3><div>This case highlights the rare occurrence of pneumatosis cystoides intestinalis acting as a pathologic lead point for ileocolic intussusception in a pediatric patient. Ileocolic intussusception should be considered a potential complication for young patients with PCI.</div></div>","PeriodicalId":45641,"journal":{"name":"Journal of Pediatric Surgery Case Reports","volume":"116 ","pages":"Article 102984"},"PeriodicalIF":0.2000,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Pediatric Surgery Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2213576625000296","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 0

Abstract

Introduction

Ileocolic intussusception is an acute intestinal obstruction that requires prompt diagnosis and treatment. This case presents a rare pathologic lead point for ileocolic intussusception.

Case presentation

A nine-year-old female with a history of functional abdominal pain and constipation presented to the emergency department with acute abdominal pain, bilious emesis and one episode of non-bloody diarrhea. Abdominal x-rays were concerning for a bowel obstruction and an abdominal ultrasound showed an intussusception of unclear location. Subsequent abdominal/pelvic computerized tomography scan identified an ileocolic intussusception with pneumatosis cystoides intestinalis (PCI) acting as a pathologic lead point. The patient underwent two air enema reduction procedures that were deemed to be incomplete. As a result, a diagnostic laparoscopy was performed, which confirmed PCI and identified a previously reduced ileocolic intussusception. Post-operatively, she completed a seven-day course of oral metronidazole and had an unmarkable recovery. At a three-week follow-up visit, persistent PCI was present on abdominal radiographs, which resolved after an additional 14-day course of metronidazole. Further outpatient evaluation revealed no other potential lead points other than that of the known PCI.

Conclusion

This case highlights the rare occurrence of pneumatosis cystoides intestinalis acting as a pathologic lead point for ileocolic intussusception in a pediatric patient. Ileocolic intussusception should be considered a potential complication for young patients with PCI.
肠囊性肺肿作为回结肠肠套叠的病理先导:1例报告
回结肠肠套叠是一种急性肠梗阻,需要及时诊断和治疗。本病例为回结肠肠套叠的罕见病理提示。病例介绍一名9岁女性,有功能性腹痛和便秘病史,因急性腹痛、胆汁性呕吐和一次非血性腹泻就诊于急诊科。腹部x光检查显示肠梗阻,腹部超声检查显示肠套叠位置不明。随后的腹部/盆腔计算机断层扫描发现回肠肠套叠伴肠囊性肺积症(PCI)作为病理先导点。患者接受了两次被认为不完全的空气灌肠复位手术。结果,进行了诊断性腹腔镜检查,证实了PCI,并发现了先前缩小的回肠结肠套叠。术后,患者口服甲硝唑7天,恢复不明显。在三周的随访中,腹部x线片显示持续PCI,在额外的14天甲硝唑疗程后消失。进一步的门诊评估显示,除了已知的PCI外,没有其他潜在的导联点。结论本病例强调了罕见的肠囊性肺肿是儿童回肠结肠肠套叠的病理先导点。回肠结肠套叠应被认为是年轻PCI患者的潜在并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
0.60
自引率
25.00%
发文量
348
审稿时长
15 days
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信