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Computed tomography colonography for 5 cases of pneumatosis cystoides intestinalis
Authors:Kato Takashi  Kamata Akiyoshi  Nakagawa Souichi  Fujisawa Ryoki  Machida Takuro  Ikari Shuji  Sasaki Kiyotaka  Yamada Hiroto  Kagaya Hidetoshi  Nakamura Hideaki  Meguro Takashi  Horita Shoichi
Affiliation:Department of Internal Medicine, Hokkaido Gastroenterology Hospital. tks-kato@hgh.or.jp
Abstract:Computed tomography colonography (CTC) was performed in 5 patients with pneumatosis cystoides intestinalis (PCI). The virtual colonoscopy view of CTC as well as total colonoscopy (TCS) findings showed polypoid lesions in the colon, and multiplanar reconstruction images of the colon revealed in the polypoid lesions of the colon. We confirmed the diagnosis of PCI in all cases. CTC also detected the PCI lesions in the subserosa of the colonic wall which were not detected by TCS. Accurate evaluation of the extent of PCI involvement was obtained by CT air-contrast enema images. CTC is useful for detection of PCI lesions, assessment of the exact site and final diagnosis for PCI.
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