酸素吸入療法により治癒した大腸嚢胞様気腫の一例

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A 75-year-old female was admitted for anal bleeding and excretion of foamy mucus. Plain X-ray of abdomen revealed multiple, round, radiolucent cysts 0.5cm-2.0cm in diameter. A barium study showed multiple cystic lesions along the sigmoid colon. Colonofiberscopy disclosed multiple hemispherical lesions. Some lesions were reduced by pricking, with the biopsy needle. CT revealed the gas-cyst in the wall of the colon. No lesions related to the ethiology were detected.<BR>She was diagnosed as pneumatosis cystoides intestinalis, and intermittent oxygen therapy was given 51/min for 5 hours a day. The all cystic lesions disappeared after 4 weeks. The patient has been asymptomatic for 7 months.<BR>One hundred twenty six cases of Pneumatosis Cystoides Intestinalis were reported during the last 12 years in our contry and resection of the intestine was performed on 32 cases, oxygen therapy was performed on 42 cases and the other 32 cases healed without treatment. Oxygen therapy was maintained for 3.1 weeks on the average, it took for 17.1 weeks for spontaneous healing. If there are no severe complications, oxygen therapy should be done first.
日本大腸肛門病学会の論文