Year 2023 / Volume 115 / Number 4
Letter
Intestinal pneumatosis as a manifestation of systemic sclerosis

220-221

DOI: 10.17235/reed.2023.9428/2022

Daniel Alvarenga Fernandes, Carlos Eduardo Garcez Teixeira, Ana Paula Toledo del Rio, Zoraida Sachetto, Fabiano Reis,

Abstract
A 60-year-old female patient was admitted to the emergency room for a 7-day history of abdominal bloating, nausea, vomiting, constipation, and lack of flatus. She had been diagnosed with systemic sclerosis (SSc) 10 years ago and had been using methotrexate, sildenafil, and prednisone. She did not present any signs of instability, but physical examination showed malnourishment status and abdominal tenderness and distention. Plain abdominal radiography was suggestive of sigmoid volvulus, confirmed and successfully resolved after endoscopic decompression therapy. Eight months later, the patient developed a new episode of abdominal obstruction. Computed Tomography (CT) scan identified a distended sigmoid colon due to its torsion with gas areas within the bowel wall. This time, endoscopic decompression had failed to treat, so exploratory laparotomy was performed. Colonic distention and sigmoid volvulus were identified during the procedure, after which sigmoidectomy followed by primary anastomosis was performed. Neither perforation nor masses were found. Furthermore, the anatomopathological study was inconsistent with vascular, inflammatory, or neoplastic diseases.
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References
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Alvarenga Fernandes D, Garcez Teixeira C, Toledo del Rio A, Sachetto Z, Reis F. Intestinal pneumatosis as a manifestation of systemic sclerosis. 9428/2022


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Publication history

Received: 15/12/2022

Accepted: 01/01/2023

Online First: 16/01/2023

Published: 03/04/2023

Article Online First time: 32 days

Article editing time: 109 days


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