The indications for restorative proctectomy are well established. Below we publish a case of pneumatosis coli treated by this procedure. Comments from readers on the management of this rare condition would be welcome.
Abstract
Pneumatosis coli is a rare condition in which gas filled cysts occur in the wall of the intestines. Most symptomatic patients can be managed conservatively but those who fail medical management or who develop bowel obstruction will require surgery. Surgery usually involves a limited colectomy with a potential for recurrence. We describe a case of pneumatosis coli managed successfully by restorative proctocolectomy and ileal pouch-anal anastomosis.
Résumé
La pneumatose colique est une affection rare caractérisée par la présence de kystes dans la paroi de l'intestin remplis de gaz. La plupart des patients peuvant être traités de manière conservatrice mais en cas d'écheo du traitement médical ou en cas d'apparition d'une occlusion intestinale, un geste opératoire peut être nécessaire. La chirurgie consiste le plus souvent en une colectomie limitée comportant toutefois un risque de récidive. Nous rapportons un cas de pneumatose colique traitée avec succès par proctocolectomie avec rétablissement de la continuité à l'aide d'une poche iléo-anale.
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References
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Woodward, A., Lai, L., Burgess, B. et al. A case of pneumatosis coli managed by restorative proctectomy and ileal pouch-anal anastomosis. Int J Colorect Dis 10, 181–182 (1995). https://doi.org/10.1007/BF00298544
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DOI: https://doi.org/10.1007/BF00298544