Pneumatosis Coli Treated with Metronidazole and Hyperbaric Oxygen Therapy: A Successful Case

Authors

  • Mariana Costa Serviço de Gastrenterologia. Centro Hospitalar de Lisboa Central. Lisboa. Portugal.
  • Carolina Morgado Serviço de Cirurgia Geral. Centro Hospitalar de Lisboa Central. Lisboa. Portugal.
  • David Andrade Serviço de Cirurgia Geral. Centro Hospitalar de Lisboa Central. Lisboa. Portugal.
  • Francisco Guerreiro Centro de Medicina Subaquática e Hiperbárica. Lisboa. Portugal.
  • João Coimbra Serviço de Gastrenterologia. Centro Hospitalar de Lisboa Central. Lisboa. Portugal.

DOI:

https://doi.org/10.20344/amp.6126

Keywords:

Hyperbaric Oxygenation, Metronidazole, Pneumatosis Cystoides Intestinalis.

Abstract

Pneumatosis intestinalis, characterized by the presence of gas within the bowel wall, is an uncommon condition with variable
presentation. It may be idiopathic or secondary to other diseases. A computed tomography scan is the most sensitive method for diagnosis. In the absence of signs and symptoms of complications, such as perforation and peritonitis, pneumatosis intestinalis can be
managed conservatively. We present the case of a 59-year-old woman with pneumatosis coli secondary to benign ovary teratoma. After surgery she remained symptomatic and was successfully treated with metronidazole and hyperbaric oxygen therapy.

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Author Biographies

Mariana Costa, Serviço de Gastrenterologia. Centro Hospitalar de Lisboa Central. Lisboa. Portugal.

Interna de Formação Específica em Gastrenterologia, Centro Hospitalar de Lisboa Centrak, EPE

Carolina Morgado, Serviço de Cirurgia Geral. Centro Hospitalar de Lisboa Central. Lisboa. Portugal.

Assistente Hospitalar de Cirurgia Geral no Centro Hospitalar de Lisboa Central, EPE

David Andrade, Serviço de Cirurgia Geral. Centro Hospitalar de Lisboa Central. Lisboa. Portugal.

Assistente Hospitalar Graduado de Cirurgia Geral do Centro Hospitalar de Lisboa Central, EPE

Francisco Guerreiro, Centro de Medicina Subaquática e Hiperbárica. Lisboa. Portugal.

Assistente Hospitalar de Pneumologia, Médico Naval, Director do Centro de Medicina Subaquática e Hiperbérica

João Coimbra, Serviço de Gastrenterologia. Centro Hospitalar de Lisboa Central. Lisboa. Portugal.

Assistente Hospitalar Graduado de Gastrenterologia, Centro Hospitalar de Lisboa Central, EPE

Published

2015-07-10

How to Cite

1.
Costa M, Morgado C, Andrade D, Guerreiro F, Coimbra J. Pneumatosis Coli Treated with Metronidazole and Hyperbaric Oxygen Therapy: A Successful Case. Acta Med Port [Internet]. 2015 Jul. 10 [cited 2024 Dec. 22];28(4):534-7. Available from: https://actamedicaportuguesa.com/revista/index.php/amp/article/view/6126

Issue

Section

Case Report