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Pneumatosis coli: Is there a relationship with sigmoid colon redundancy?

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Abstract

Pneumatosis coli (PC) is a process characterized by gas-filled cysts in the wall of the large intestine. The barium enema examinations of 14 patients with idiopathic PC were assessed: 93% involved the sigmoid colon, and 84% of patients with sigmoid pneumatosis had sigmoid colon redundancy in comparison to 14% of the control population (p<0.001). It is proposed that the sigmoid cysts result in redundancy by affecting the mesentery and colon length. This redundancy may account for the increased risk of sigmoid volvulus in this condition.

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References

  1. Gillon J, Holt S, Sircus W: Pneumatosis coli and sigmoid volvulus: a report of 4 cases.Br J Surg 66:802–805, 1979

    Google Scholar 

  2. Figiel LS, Figiel SJ: Sigmoid volvulus: variations in the roentgen pattern.AJR 81:683–693, 1959

    Google Scholar 

  3. Marshak RH, Lindner AE, Maklansky D: Pneumatosis cystoides coli.Gastrointest Radiol 2:85–89, 1977

    Google Scholar 

  4. Shapiro BJ, Track AA, Myers E: Pneumatosis cystoides intestinalis involving the left side of the colon.Can Med Assoc J 91:219–224, 1964

    Google Scholar 

  5. Read NW, Al-Janabi MN, Cann PA: Is raised breath hydrogen related to the pathogenesis of pneumatosis coli?Gut 25:839–845, 1984

    Google Scholar 

  6. Bloch C: The natural history of pneumatosis coli.Radiology 123:311–314, 1977

    Google Scholar 

  7. Koss LG: Abdominal gas cysts (pneumatosis cystoides intestinorum hominis): an analysis with a report of a case and a critical review of the literature.Arch Pathol 53:523–549, 1952

    Google Scholar 

  8. Smith WG, Anderson MJ, Pemberton HW: Pneumatosis cystoides intestinalis involving left portion of colon. Report of four cases diagnosed at sigmoidoscopy.Gastroenterology 35:528–533, 1958

    Google Scholar 

  9. Williams JL: Pneumatosis cystoides intestinalis involving the left half of the colon and rectum.Br J Surg 49:67–69, 1961

    Google Scholar 

  10. Varano VJ, Bonanno CA: Colonoscopic findings in pneumatosis cystoides intestinalis.Am J Gastroenterol 59:353–359, 1973

    Google Scholar 

  11. O'Connell DJ, Dewbury KC, Green B, Wyatt AP: The plain abdominal radiograph in pneumatosis coli.Clin Radiol 27:563–568, 1976

    Google Scholar 

  12. Gruenberg JC, Grodsinsky C, Ponka JL: Pneumatosis intestinalis: a clinical classification.Dis Colon Rectum 22:5–9, 1979

    Google Scholar 

  13. Meyers MA, Ghahremani GG, Clements JL, Goodman K: Pneumatosis intestinalis.Gastrointest Radiol 2:91–105, 1977

    Google Scholar 

  14. Galandiuk S, Fazio VW: Pneumatosis cystoides intestinalis: a review of the literature.Dis Colon Rectum 29:358–363, 1986

    Google Scholar 

  15. Young WS, Engelbrecht HE, Stoker A: Plain film analysis in sigmoid volvulus.Clin Radiol 29:553–560, 1978

    Google Scholar 

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Moote, D.J., Fried, L.A., LeBrun, G.P. et al. Pneumatosis coli: Is there a relationship with sigmoid colon redundancy?. Gastrointest Radiol 14, 79–82 (1989). https://doi.org/10.1007/BF01889161

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  • DOI: https://doi.org/10.1007/BF01889161

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