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| Treatment of pneumatosis cystoids intestinalis aerocele with traditional Chinese and Western medicine: a case report |
| SHEN Yaocun1 HUANG Can1 LIU Shenfan1 ZHU Jie1 LIU Yuyue2 WANG Zhibin3▲ |
1.Second Clinical Medical College Beijing University of Chinese Medicine, Beijing 100029, China;
2.Department of Pathology, Dongfang Hospital Beijing University of Chinese Medicine, Beijing 100078, China;
3.Department of Spleen, Stomach and Hepatobiliary, Dongfang Hospital Beijing University of Chinese Medicine, Beijing 100078, China
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Abstract Pneumatosis cystoides intestinalis are gas cysts occurring in the submucosa or subserous membrane of the digestive tract, with low incidence and easy misdiagnosis. This paper describes a case of pneumatosis cystoides intestinalis with persistent abdominal distension as the main symptom. After admission, colon endoscopy, endoscopic ultrasound, pathology, and CT examination were completed to confirm the diagnosis of pneumatosis cystoides intestinalis. After the treatment of integrated Chinese and Western medicine during hospitalization and oral treatment of traditional Chinese medicine after discharge, the clinical symptoms disappeared and there was no abnormality in colonoscopy review, and the overall effect was good. Pneumatosis cystoides intestinalis is a rare disease, easily confused with intestinal tuberculosis, intestinal polyps, inflammatory enteritis, intestinal tumors, and other diseases, improper treatment can lead to pneumoperitoneum, intestinal obstruction, intestinal ischemia, and other serious complications. The diagnosis and treatment of this case is detailed, the pathological results are clear, and the treatment effect of integrated Chinese and western medicine is very good, which can provide clinical reference.
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