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The Korean Journal of Pathology 2002;36(2): 119-121.
Pneumatosis Cystoides Intestinalis of Adult Ileum: A Case Report.
Seoung Wan Chae, Hye Kyung Ahn, Jin Hee Sohn
Department of Pathology, Hangang Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. jhsohn@hallym.or.kr
Pneumatosis cystoides intestinalis is an uncommon condition characterized by the presence of multiple gas-filled cysts within the gastrointestinal wall. This lesion occurs in association with a large variety of gastrointestinal and non-gastrointestinal conditions. Herein, we describe a case of pneumatosis cystoides intestinalis of the small intestine that developed in a 31-year-old man with a history of duodenal ulcer and pyloric stenosis. Emergency exploro-laparotomy was done due to a suspicion of ulcer perforation. Primary closure for duodenal ulcer perforation and segmental resection of ileum were done. Resected ileum showed diffuse sponge-like changes in the wall. Microscopically, variable-sized cystic lesions, lined by flat or multinucleated giant cells, were noted throughout the intestinal wall.
Key Words: Pneumatosis Cystoides Intestinalis-Ileum