闭塞综合征表现为肠囊性肺肿1例

Franck Auguste Hermann Adémayali Ido, A. Ouédraogo, I. Savadogo, Rakiswendé Alexis Ouedraogo, S. Ouattara
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摘要

简介:肠囊性肺肿是一种罕见的疾病,其特征是存在于肠壁的气体囊肿。它可以影响消化道的不同部分。50岁以上的男性患者似乎更容易受到影响。经典地,人们反对原发性或特发性形式和继发性形式。病例报告:我们报告的情况下,62岁的女性患者治疗消化性溃疡的历史,谁提出了间歇性非典型腹痛发作,突然恶化。体格检查显示手术腹部触痛。病人接受了空肠切除术。病理检查显示宏观上可见肠碎片,浆膜下和肠顶内大泡汇合。打开时,包含大泡的部分增厚,梗死,充血性,出血,易碎,肠腔变窄。大疱紧绷,留下严重的裂痕。组织学检查显示,肠壁充血,充血斑块。可见与消化腔不相通的光学空囊性形成。邻近粘膜是中度亚急性炎症反应的部位。结论:肠囊性肺肿是一种罕见的良性疾病。这些症状即使存在,也是不具体的。其生理病理机制仍有很大争议。预后通常很好。这种病理的知识是必要的,以避免侵入性探查和沉重的治疗没有兴趣的病人。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pneumatosis cystoides intestinalis revealed by an occlusive syndrome: A case report
Introduction: Pneumatosis cystoides intestinalis is a rare condition characterized by the presence of gas cysts in the intestinal wall. It can affect different segments of the digestive tract. Male patients over 50 years old seem to be more affected. Classically, one opposes the primary or idiopathic forms and the secondary forms. Case Report: We report the case of a 62-year-old female patient with a history of treated peptic ulcers, who presented with episodes of intermittent atypical abdominal pain that worsened abruptly. The physical examination revealed a surgical abdomen with tenderness to palpation. The patient underwent a jejunal resection. The pathological examination showed macroscopically an intestinal fragment with confluent subserosal and intestinal intraparietal bullae. On opening, the portion containing the bullae was thickened, infarcted, congestive, hemorrhagic, and brittle with narrowing of the intestinal lumen. The bullae are tense and leave serosities. On histological examination, the intestinal wall was very congestive with hemorrhagic patches of suffusion. There were optically empty cystic formations that does not communicate with the digestive lumen. The adjacent mucosa is the site of a moderate subacute inflammatory reaction. Conclusion: Pneumatosis cystoides intestinalis is a rare and usually benign pathology. The symptoms, when they exist, are not specific. Its physiopathology is still very much debated. The prognosis is generally good. The knowledge of this pathology is necessary to avoid invasive explorations and heavy treatment without interest for the patient.
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