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pneumatosis cystoides intestinalis

Tuesday 17 May 2016

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- pneumatosis cystoides intestinalis

Synopsis

- submucosal gas filled cysts within gastrointestinal tract
- empty submucosal cysts lined by multinucleated giant cells
- Mucosa may demonstrate cryptitis , crypt abscesses , granulomas
- Can also resemble digestive parietla lipomatosis

Associations

- In infants, fulminant form is associated with necrotizing enterocolitis and may be fatal
- Also associated with cystic fibrosis or congenital heart defects
- In adults, either idiopathic or associated with :

  • digestive obstruction ,
  • chronic lung disease ,
  • scleroderma ,
  • chemotherapy ,
  • drugs ,
  • ischemic colitis ,
  • vascular insufficiency or
  • infection with gas producing bacteria, such as Clostridia

Differential diagnosis

- lipomatosis

Complications

- bowel necrosis
- perforation
- peritonitis

See also

- pneumatosis

  • pneumatosis intestinalis