Management of pneumatosis cystoides intestinalis with pneumoperitoneum: 5-years systematic review.
Summary Background: Pneumatosis Cystoides Intestinalis (PCI) is a rare condition, characterized by gas-filled cysts in the intestinal wall. Rarely, it may also involve other places, such as the mesentery. It is classified as primary and secondary and associated with multiple predisposing factors. I...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Hospital de Clinicas de Porto Alegre ; Universidade Federal do Rio Grande do Sul (UFRGS)
2022-07-01
|
| Series: | Clinical and Biomedical Research |
| Online Access: | https://seer.ufrgs.br/index.php/hcpa/article/view/119917 |
| _version_ | 1798041031566950400 |
|---|---|
| author | Rodrigo Piltcher-da-Silva Vivian Laís Sasaki Felipe Melloto Gallotti Bruna Freitas Saenger Mariana Piltcher-Recuero Gabriela de Melo Rocha Marco Aurélio Raeder da Costa Júlio Cezar Uili Coelho |
| author_facet | Rodrigo Piltcher-da-Silva Vivian Laís Sasaki Felipe Melloto Gallotti Bruna Freitas Saenger Mariana Piltcher-Recuero Gabriela de Melo Rocha Marco Aurélio Raeder da Costa Júlio Cezar Uili Coelho |
| author_sort | Rodrigo Piltcher-da-Silva |
| collection | DOAJ |
| description | Summary
Background: Pneumatosis Cystoides Intestinalis (PCI) is a rare condition, characterized by gas-filled cysts in the intestinal wall. Rarely, it may also involve other places, such as the mesentery. It is classified as primary and secondary and associated with multiple predisposing factors. Its differential diagnosis is mesenteric ischemia.
Methods: We conducted a systematic literature review according to PRISMA statement. PubMed and LILACS databases were searched for articles published between January 2015 and December 2020. The subject headings were "Pneumatosis cystoides intestinalis" and "pneumoperitoneum", "pneumatosis intestinalis" and "pneumoperitoneum" or "mesenteric pneumatosis".
Results: 51 articles with 58 patients with PCI and pneumoperitoneum were included. Most patients were male and the average age was 64.9 years. The idiopathic etiology was recorded in 29.31% and the most common predisposing factor were immune dysfunction (28.3%). 24.13% were asymptomatic and the most commons symptoms were abdominal pain (43.1%), nausea and vomiting (41.37%) and abdominal distention (37.93%). Diagnostic surgery was performed in 26 patients (44.8%). Just one patient underwent to surgery with treatment intent.
Conclusion: PCI is a benign disease that can be confused with a potentially fatal condition, mesenteric ischemia. Treatment is conservative, with periodic clinical evaluations. Surgical procedure is usually not necessary for the diagnosis or management of PCI. |
| first_indexed | 2024-04-11T22:15:49Z |
| format | Article |
| id | doaj.art-d690cf07825d4655b3f68953091bdcd9 |
| institution | Directory Open Access Journal |
| issn | 2357-9730 |
| language | English |
| last_indexed | 2024-04-11T22:15:49Z |
| publishDate | 2022-07-01 |
| publisher | Hospital de Clinicas de Porto Alegre ; Universidade Federal do Rio Grande do Sul (UFRGS) |
| record_format | Article |
| series | Clinical and Biomedical Research |
| spelling | doaj.art-d690cf07825d4655b3f68953091bdcd92022-12-22T04:00:23ZengHospital de Clinicas de Porto Alegre ; Universidade Federal do Rio Grande do Sul (UFRGS)Clinical and Biomedical Research2357-97302022-07-01422100324Management of pneumatosis cystoides intestinalis with pneumoperitoneum: 5-years systematic review.Rodrigo Piltcher-da-Silva0https://orcid.org/0000-0002-8726-3158Vivian Laís Sasaki1https://orcid.org/0000-0001-7505-1492Felipe Melloto Gallotti2https://orcid.org/0000-0001-9125-7407Bruna Freitas Saenger3https://orcid.org/0000-0002-4287-4756Mariana Piltcher-Recuero4https://orcid.org/0000-0003-3396-014XGabriela de Melo Rocha5https://orcid.org/0000-0002-9880-3391Marco Aurélio Raeder da Costa6https://orcid.org/0000-0002-3452-2398Júlio Cezar Uili Coelho7https://orcid.org/0000-0003-0524-3936Hospital Nossa Senhora das Graças, Curitiba, Brazil.Hospital Nossa Senhora das Graças, Curitiba, Brazil.Hospital Nossa Senhora das Graças, Curitiba, Brazil.Hospital Nossa Senhora das Graças, Curitiba, Brazil.Hospital Nossa Senhora das Graças, Curitiba, Brazil.Hospital Nossa Senhora das Graças, Curitiba, Brazil.Hospital Nossa Senhora das Graças, Curitiba, Brazil.Hospital Nossa Senhora das Graças, Curitiba, Brazil.Summary Background: Pneumatosis Cystoides Intestinalis (PCI) is a rare condition, characterized by gas-filled cysts in the intestinal wall. Rarely, it may also involve other places, such as the mesentery. It is classified as primary and secondary and associated with multiple predisposing factors. Its differential diagnosis is mesenteric ischemia. Methods: We conducted a systematic literature review according to PRISMA statement. PubMed and LILACS databases were searched for articles published between January 2015 and December 2020. The subject headings were "Pneumatosis cystoides intestinalis" and "pneumoperitoneum", "pneumatosis intestinalis" and "pneumoperitoneum" or "mesenteric pneumatosis". Results: 51 articles with 58 patients with PCI and pneumoperitoneum were included. Most patients were male and the average age was 64.9 years. The idiopathic etiology was recorded in 29.31% and the most common predisposing factor were immune dysfunction (28.3%). 24.13% were asymptomatic and the most commons symptoms were abdominal pain (43.1%), nausea and vomiting (41.37%) and abdominal distention (37.93%). Diagnostic surgery was performed in 26 patients (44.8%). Just one patient underwent to surgery with treatment intent. Conclusion: PCI is a benign disease that can be confused with a potentially fatal condition, mesenteric ischemia. Treatment is conservative, with periodic clinical evaluations. Surgical procedure is usually not necessary for the diagnosis or management of PCI.https://seer.ufrgs.br/index.php/hcpa/article/view/119917 |
| spellingShingle | Rodrigo Piltcher-da-Silva Vivian Laís Sasaki Felipe Melloto Gallotti Bruna Freitas Saenger Mariana Piltcher-Recuero Gabriela de Melo Rocha Marco Aurélio Raeder da Costa Júlio Cezar Uili Coelho Management of pneumatosis cystoides intestinalis with pneumoperitoneum: 5-years systematic review. Clinical and Biomedical Research |
| title | Management of pneumatosis cystoides intestinalis with pneumoperitoneum: 5-years systematic review. |
| title_full | Management of pneumatosis cystoides intestinalis with pneumoperitoneum: 5-years systematic review. |
| title_fullStr | Management of pneumatosis cystoides intestinalis with pneumoperitoneum: 5-years systematic review. |
| title_full_unstemmed | Management of pneumatosis cystoides intestinalis with pneumoperitoneum: 5-years systematic review. |
| title_short | Management of pneumatosis cystoides intestinalis with pneumoperitoneum: 5-years systematic review. |
| title_sort | management of pneumatosis cystoides intestinalis with pneumoperitoneum 5 years systematic review |
| url | https://seer.ufrgs.br/index.php/hcpa/article/view/119917 |
| work_keys_str_mv | AT rodrigopiltcherdasilva managementofpneumatosiscystoidesintestinaliswithpneumoperitoneum5yearssystematicreview AT vivianlaissasaki managementofpneumatosiscystoidesintestinaliswithpneumoperitoneum5yearssystematicreview AT felipemellotogallotti managementofpneumatosiscystoidesintestinaliswithpneumoperitoneum5yearssystematicreview AT brunafreitassaenger managementofpneumatosiscystoidesintestinaliswithpneumoperitoneum5yearssystematicreview AT marianapiltcherrecuero managementofpneumatosiscystoidesintestinaliswithpneumoperitoneum5yearssystematicreview AT gabrielademelorocha managementofpneumatosiscystoidesintestinaliswithpneumoperitoneum5yearssystematicreview AT marcoaurelioraederdacosta managementofpneumatosiscystoidesintestinaliswithpneumoperitoneum5yearssystematicreview AT juliocezaruilicoelho managementofpneumatosiscystoidesintestinaliswithpneumoperitoneum5yearssystematicreview |