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Gastrointestinal malignant neoplasms disguised as pneumatosis cystoids intestinalis: A case report and literature review.

Abstract Pneumatosis cystoids intestinalis (PCI) is a rare disease in which gas develops in the mucosa or submucosa of the digestive tract. The etiology and pathogenesis of this disease, at present, remain unclear, and gastrointestinal malignant neoplasms may be a potentially important cause. Herein, we report a case of mantle cell lymphoma presenting as PCI as well as present a literature review of cases of suspect PCI that was definitively diagnosed as gastrointestinal neoplasms. In doing so, we highlighted cases of neoplastic pathogenesis that present as PCI.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 29390561
OWN - NLM
STAT- MEDLINE
DCOM- 20180212
LR  - 20180212
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 51
DP  - 2017 Dec
TI  - Gastrointestinal malignant neoplasms disguised as pneumatosis cystoids
      intestinalis: A case report and literature review.
PG  - e9410
LID - 10.1097/MD.0000000000009410 [doi]
AB  - RATIONALE: Pneumatosis cystoids intestinalis (PCI) is a rare disease in which gas
      develops in the mucosa or submucosa of the digestive tract. The etiology and
      pathogenesis of this disease, at present, remain unclear, and gastrointestinal
      malignant neoplasms may be a potentially important cause. Herein, we report a
      case of mantle cell lymphoma presenting as PCI as well as present a literature
      review of cases of suspect PCI that was definitively diagnosed as
      gastrointestinal neoplasms. In doing so, we highlighted cases of neoplastic
      pathogenesis that present as PCI. PATIENT CONCERNS: A 55-year-old man was
      referred to our gastrointestinal department with complaints of intermittent
      abdominal pain, distention, diarrhea, and occasional melena that persisted for 2 
      months. He has a history of nasopharyngeal carcinoma. DIAGNOSES: Intensive,
      translucent, grape-like cystoids of the whole colon and small intestine were
      disguised as PCI upon colonoscopy and capsule endoscopy. INTERVENTIONS: Right
      hemicolectomy and ileocecectomy were performed for intussusception and to confirm
      the diagnosis. Final pathology indicated that the mass was mantle cell lymphoma. 
      OUTCOMES: After surgery and subsequent chemotherapy, the patient showed good
      recovery and no abnormal lesions were detected on colonoscopy. LESSONS: As shown 
      through this case and a literature review of similar cases of apparent PCI that
      was definitively diagnosed as gastrointestinal neoplasm, gastrointestinal
      malignant neoplasms might rarely present as PCI and neoplastic etiologies should 
      also be considered once PCI is detected. Because most patients with malignant
      PCIs might inevitably experience severe complications, abdominal surgery should
      be considered and applied timely after unsuccessful resolution by conservative
      medical therapies and symptomatic treatments.
CI  - Copyright (c) 2017 The Authors. Published by Wolters Kluwer Health, Inc. All
      rights reserved.
FAU - Liu, Tingting
AU  - Liu T
AD  - Department of Gastroenterology, Zhujiang Hospital, Southern Medical University,
      Guangzhou, Guangdong, China.
FAU - Zhang, Shaoheng
AU  - Zhang S
FAU - Mao, Hua
AU  - Mao H
LA  - eng
PT  - Case Reports
PT  - Journal Article
PT  - Review
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Capsule Endoscopy
MH  - Colonoscopy
MH  - Diagnosis, Differential
MH  - Female
MH  - Gastrointestinal Neoplasms/*diagnosis/pathology
MH  - Humans
MH  - Lymphoma, Mantle-Cell/*diagnosis/pathology
MH  - Middle Aged
MH  - Pneumatosis Cystoides Intestinalis/*diagnosis/pathology
PMC - PMC5758263
EDAT- 2018/02/03 06:00
MHDA- 2018/02/13 06:00
CRDT- 2018/02/03 06:00
PHST- 2018/02/03 06:00 [entrez]
PHST- 2018/02/03 06:00 [pubmed]
PHST- 2018/02/13 06:00 [medline]
AID - 10.1097/MD.0000000000009410 [doi]
AID - 00005792-201712220-00148 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Dec;96(51):e9410. doi: 10.1097/MD.0000000000009410.