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ARTICLE |

The Bacterial Etiology of Pneumatosis Cystoides Intestinalis FREE

Charles E. Yale, MD, DSc; Edward Balish, PhD; Jane P. Wu, MD
[+] Author Affiliations

Accepted for publication Jan 2, 1974.

Reprint requests to Department of Surgery, University of Wisconsin Medical School, 1300 University Ave, Madison, WI 53706 (Dr. Yale).


Arch Surg. 1974;109(1):89-94. doi:10.1001/archsurg.1974.01360010067017
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Pneumatosis cystoides intestinalis (PCI) is an uncommon condition of unknown cause characterized by the presence of gas-filled cysts within the walls of some portion of the gastrointestinal tract. In this investigation, gas-filled cysts were produced in the omentum, wound, mesentery, and intestine of the germ-free rat by injecting a pure culture of Clostridium perfringens into either the wall of the distal part of the small intestine and cecum, or into the peritoneal cavity. The disorder appeared to be self-limited in time, to be related to the amount of contamination, and to occur after minimal trauma to the intestines. These experiments prove that PCI can be caused by bacteria alone. Attempts to produce the lesion by monocontaminating germ-free rats in a similar manner with pure cultures of any one of nine other common intestinal bacteria were unsuccessful.

REFERENCES

Nitch CAR:  Cystic pneumatosis of the intestinal tract . Br J Surg 11:714-736, 1924;.
Koss LG:  Abdominal gas cysts (pneumatosis cystoides intestinorum hominis) . Arch Pathol 53:523-549, 1952;.
Ecker JA, Williams RG, Clay KL:  Pneumatosis cystoides intestinalis: Bullous emphysema of the intestine . Am J Gastroenterol 56:125-136, 1971;.
Stone HH, Webb HW, Lovalchik MT III:  Pneumatosis intestinalis of infancy . Surg Gynecol Obstet 130:806-812, 1970;.
Wolloch Y, Dintsman M, Weiss A:  Pneumatosis cystoides intestinalis of adulthood . Arch Surg 105:723-726, 1972;.
Stone HH, et al:  Infantile pneumatosis intestinalis . J Surg Res 8:301-307, 1968;.
Yale CE, Balish E:  Intestinal strangulation in Clostridium perfringens monocontaminated rats . Infect Immun 3:481-487, 1971;.
Yale CE, Vivek AR:  Intestinal strangulation in Escherichia coli monocontaminated gnotobiotic rats . Infect Immun 1:195-199, 1970;.
Smith HW, Crabb WE:  The faecal bacteria flora of animals and man: Its development in the young . J Pathol Bact 82:53-66, 1961;.
Bornside GH, Welsh JS, Cohn I Jr:  Bacterial flora of the human small intestine . JAMA 196:1125-1127, 1966;.
Smith BH, Welter LH:  Pneumatosis intestinalis . Am J Clin Pathol 48:455-465, 1967;.

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Nitch CAR:  Cystic pneumatosis of the intestinal tract . Br J Surg 11:714-736, 1924;.
Koss LG:  Abdominal gas cysts (pneumatosis cystoides intestinorum hominis) . Arch Pathol 53:523-549, 1952;.
Ecker JA, Williams RG, Clay KL:  Pneumatosis cystoides intestinalis: Bullous emphysema of the intestine . Am J Gastroenterol 56:125-136, 1971;.
Stone HH, Webb HW, Lovalchik MT III:  Pneumatosis intestinalis of infancy . Surg Gynecol Obstet 130:806-812, 1970;.
Wolloch Y, Dintsman M, Weiss A:  Pneumatosis cystoides intestinalis of adulthood . Arch Surg 105:723-726, 1972;.
Stone HH, et al:  Infantile pneumatosis intestinalis . J Surg Res 8:301-307, 1968;.
Yale CE, Balish E:  Intestinal strangulation in Clostridium perfringens monocontaminated rats . Infect Immun 3:481-487, 1971;.
Yale CE, Vivek AR:  Intestinal strangulation in Escherichia coli monocontaminated gnotobiotic rats . Infect Immun 1:195-199, 1970;.
Smith HW, Crabb WE:  The faecal bacteria flora of animals and man: Its development in the young . J Pathol Bact 82:53-66, 1961;.
Bornside GH, Welsh JS, Cohn I Jr:  Bacterial flora of the human small intestine . JAMA 196:1125-1127, 1966;.
Smith BH, Welter LH:  Pneumatosis intestinalis . Am J Clin Pathol 48:455-465, 1967;.

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