Bergeron E, Pichette M, Boisvert G, Manière T, Désilets É. Rare etiology of colonic intussusception involving an adult with emphysematous cystic enteropathy: A case report and review of literature. World J Clin Cases 2024; 12(17): 3161-3167 [PMID: 38898841 DOI: 10.12998/wjcc.v12.i17.3161]
Corresponding Author of This Article
Eric Bergeron, MD, MSc, Surgeon, Department of Surgery, Charles LeMoyne Hospital, 3120 Boulevard Taschereau, Greenfield Park J4V 2H1, Quebec, Canada. eric.bergeron.med@ssss.gouv.qc.ca
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jun 16, 2024; 12(17): 3161-3167 Published online Jun 16, 2024. doi: 10.12998/wjcc.v12.i17.3161
Rare etiology of colonic intussusception involving an adult with emphysematous cystic enteropathy: A case report and review of literature
Eric Bergeron, Maude Pichette, Geneviève Boisvert, Thibaut Manière, Étienne Désilets
Eric Bergeron, Maude Pichette, Department of Surgery, Charles LeMoyne Hospital, Greenfield Park J4V 2H1, Quebec, Canada
Geneviève Boisvert, Department of Medical Imaging, Charles LeMoyne Hospital, Greenfield Park J4V 2H1, Quebec, Canada
Thibaut Manière, Étienne Désilets, Department of Gastroenterology, Charles LeMoyne Hospital, Greenfield Park J4V 2H1, Quebec, Canada
Author contributions: Manière T, Désilets É, and Bergeron E managed the case; Bergeron E and Pichette M provided surgical expertise, reviewed the records, and wrote the manuscript; Boisvert G was involved in the provision of study material and reviewed the computed tomography scans; Manière T was involved in the provision of study material and reviewed endoscopy images; Manière T and Désilets É provided expertise in gastroenterology. All authors reviewed and approved the final version of the manuscript.
Informed consent statement: All patients gave informed consent.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Eric Bergeron, MD, MSc, Surgeon, Department of Surgery, Charles LeMoyne Hospital, 3120 Boulevard Taschereau, Greenfield Park J4V 2H1, Quebec, Canada. eric.bergeron.med@ssss.gouv.qc.ca
Received: January 18, 2024 Revised: April 5, 2024 Accepted: April 30, 2024 Published online: June 16, 2024 Processing time: 137 Days and 17.5 Hours
Abstract
BACKGROUND
Pneumatosis cystoides intestinalis (PCI), characterized by a collection of gas-filled cysts in the intestinal wall, is an uncommon but well-known condition in gastroenterology. Abdominal pain is the most frequent symptom associated with PCI. Intussusception represents a potential cause of recurrent abdominal pain or emergency presentation. However, the occurrence of colonic intussusception secondary to PCI is very unusual in adulthood.
CASE SUMMARY
A 52-year-old male, known with idiopathic PCI, presented seventeen months after initial diagnosis with a new right upper quadrant pain. A computed tomography-scan demonstrated a colonic intussusception at the hepatic flexure. PCI did not progress compared with initial investigation. The patient underwent an emergency right hemicolectomy.
CONCLUSION
Resection was recommended in this case because PCI proved to be persisting with no identified curable cause. Surgery allowed to address the underlying pathology, the potential relapse of intussusception, and the likely cause of recurrent abdominal pain, either invagination or PCI itself.
Core Tip: Pneumatosis cystoides intestinalis (PCI) is a rare condition characterized by a collection of gas-filled cysts in the intestinal wall with various possible causes, such as constipation. Intussusception secondary to PCI in adult population has been rarely reported before. PCI may be a cause of intussusception similar to any tumor acting as a leading point. However, in the particular situation of intussusception caused by PCI, resection should be recommended to address this possible recurrence of abdominal pain, specifically if the underlying etiology of PCI is deemed irreversible.
