A Case of Laparoscopically Resected Pneumatosis Cystoides Intestinalis with Intussusception

Abstract

A 20-year-old male visited our hospital with sudden right abdominal pain. Computed tomography and abdominal ultrasonography revealed a multiple concentric ring sign in the ascending colon, so he was diagnosed as having intussusception. The intussusception was relieved with a high pressure enema using amidotrizoic acid. Colonoscopy showed multiple elevated lesions with a smooth surface in the ascending colon and cecum. On the sixth day after admission, a laparoscopic right hemicolectomy was performed. Histopathological findings of the resected specimen showed pneumatosis cystoides intestinalis (PCI). PCI cases with intussusception are relatively rare. PCI has been reported to be cured with oxygen treatment, therefore the appropriateness of surgery needs to be judged carefully.