肠气囊肿症引起肠扭转1例诊治分析并文献复习

Diagnosis and Treatment of Intestinal Volvulus Caused by Pneumatosis Cystoids Intestinalis: A Case Report and Literature Review

摘要: 肠气囊肿症(Pneumatosis Cystoids Intestinalis, PCI)是临床上较为罕见的疾病，其核心特征是在消化道浆膜下和(或)黏膜下出现大量含气囊肿。依据病因差异，该疾病可分为原发性和继发性两种类型。由于PCI发病率较低(约0.03%)且患者临床症状缺乏特异性，因此在实际诊疗过程中易出现误诊、漏诊的情况。本文通过对1例肠气囊肿症合并肠扭转患者的完整诊疗过程进行回顾性分析，并结合国内外相关文献展开深入研究，系统总结该病的发病机制、临床特征及诊断方法，旨在提升临床医师对该病的认知程度与诊治能力，降低误诊概率，为临床实践提供有价值的参考依据。

Abstract: Pneumatosis Cystoids Intestinalis (PCI) is a rare clinical disease, referring to multiple gas-filled cysts distributed in the subserosa and/or submucosa of the digestive tract. It is divided into primary and secondary types based on etiology. Due to its low incidence (approximately 0.03%) and atypical clinical symptoms, it is prone to misdiagnosis and missed diagnosis in clinical practice. This article reviews the complete diagnosis and treatment process of a patient with PCI complicated by intestinal volvulus, and systematically summarizes the pathogenesis, clinical characteristics and diagnostic methods of the disease combined with the review of relevant domestic and foreign literature. The purpose is to improve the clinical physician’s cognitive level and diagnosis and treatment ability of the disease, reduce the misdiagnosis rate, and provide reference for clinical practice.