Pneumatosis Cystoides Intestinalis Complicating Carcinoma of the Colon: Report of a Case

Mikio Yasumura, Tatsumi Iida, Masahiro Goto, Masanao Okada, Katsutoshi Murase, Tomoo Mizutani, Naoki Futamura^* and Kenichi Sakamoto^*

JA Yoro Central Hospital
First Department of Surgery, Gifu University^*

An 81-year-old man reported abdominal pain and fever. Abdominal computed tomography (CT) revealed free air, numerous smoothly rounded gas cysts, and a tumor 5.5cm in diameter containing gas. We diagnosed Intestinal obstruction with imminent ascending colon rupture and conducted emergency laparotomy that revealed extensive cysts in the ileum, left colon, and rectum. We conducted right hemicolectomy. Histological examination of the ascending lesion levealed a mucinous stage II carcinoma (se, ly3, v0, n0, ow (-), aw (-), ew (-),). Few cases of pneumatosis cystoides intestinalis (PCI) coinciding with colonic cancer have been reported. In our case, PCI was considered to due to intestinal obstruction by colon carcinoma.

Key words
pneumatosis cystoides intestinalis, colon carcinoma

Reprint requests
Mikio Yasumura First Department of Surgery, Gifu University School of Medicine 40 Tsukasa-machi, Gifu City, 500-8705 JAPAN

Accepted
November 27, 2001

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