Pneumatosis Cystoides Coli Diagnosed by Endoscopy: Report of a Case

以內視鏡診斷結腸壁囊狀積氣症：一病例報告

張明輝(Ming-Hui Chang) ； 蔡明璋(Ming-Chang Tsai) ； 陳丹霞(Tan-Hsia Chen) ； 林偉隆(Wea-Lung Lin) ； 陳滋彥(Tzy-Yen Chen) ； 林俊哲(Chun-Che Lin)

《臺灣消化醫學雜誌》 26卷4期 (2009/12) Pp. 309-312

https://doi.org/10.6557/GJT.200912_26(4).0005

摘要

結腸壁囊狀積氣症是一罕見的疾病，通常病人只有輕微的症狀，如腹瀉、腹痛或便秘。根據過去文獻記載，其診斷工具包括大腸鏡、電腦斷層、鋇劑攝影及內視鏡超音波，大腸鏡下可見多發性黏膜下腫瘤，但常規病理切片並無法取得足夠的組織來確定診斷，我們報告一位升結腸多發性黏膜下腫瘤的25歲男性病人，以內視鏡黏膜切除術的方式獲得足夠的檢體，並達到正確病理診斷。

關鍵字

結腸壁囊狀積氣症 ； 內視鏡黏膜切除術

並列摘要

The occurrence of pneumatosis cystoides coli is quite rare. Different diagnostic modalities (such as colonoscopy, computer tomography, barium enema, endoscopic ultrasonography etc.) have been reported in previous literatures. But routine biopsy can't obtain adequate specimen to make the final pathologic diagnosis. We report a 25-year-old health male patient presenting with multiple submucosal tumors in ascending colon. Pathologic diagnosis was achieved by sampling huge submucosal tissue with endoscopic mucosal resection (EMR) method instead of surgical intervention.

並列關鍵字

pneumatosis cystoides coli ； endoscopic mucosal resection