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. 2015:6C:133-7.
doi: 10.1016/j.ijscr.2014.12.007. Epub 2014 Dec 12.

An approach to pneumatosis intestinalis: Factors affecting your management

Mehdi Tahiri  1 , Jordan Levy  2 , Saud Alzaid  2 , Dawn Anderson  2
Affiliations

An approach to pneumatosis intestinalis: Factors affecting your management

Mehdi Tahiri et al. Int J Surg Case Rep. 2015.

Abstract

Pneumatosis Intestinalis (PI) is defined as the presence of extra-luminal gas confined to the bowel wall. PI is an ominous condition often requiring emergent surgery. The management can be challenging in some circumstances, as the choice of surgery versus medical treatment can be difficult. In this study, we first report the case of a seventy-seven year old woman presenting to the emergency department with the presence of PI on computed tomography of the abdomen. Secondly, we review the existing literature regarding the management of PI and we suggest a treatment algorithm based on clinical, laboratory and radiological findings.

Keywords: Algorithm; Management; Pneumatosis intestinalis; Treatment.

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Figures

Fig. 1
Fig. 1
Abdominal X-ray series.
Fig. 2
Fig. 2
CT-scan abdomen C+ (axial)–pneumatosis intestinalis.
Fig. 3
Fig. 3
Intra-operative finding of PI.
Fig. 4
Fig. 4
Treatment algorithm for PI.
See this image and copyright information in PMC

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