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Related Experiment Videos

Benign pneumatosis in children.

L Z Fenton1, C Buonomo

  • 1Department of Radiology, Children's Hospital, Boston, MA 02115, USA. fenton.laura@tchden.org

Pediatric Radiology
|December 2, 2000
PubMed
Summary

Pneumatosis intestinalis (PI) in children, often benign, typically occurs with underlying risk factors, especially immunosuppression. Most cases resolve with conservative management, but clinical decline may necessitate surgery.

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Area of Science:

  • Pediatric Gastroenterology
  • Medical Imaging

Background:

  • Pneumatosis intestinalis (PI) is commonly linked to necrotizing enterocolitis in premature infants.
  • Beyond infancy, PI is rare, with "benign pneumatosis" characterized by mild symptoms and resolution through conservative treatment.

Purpose of the Study:

  • To characterize benign PI in pediatric patients.
  • Identify associated risk factors, presenting symptoms, management strategies, and patient outcomes.

Main Methods:

  • Retrospective review of medical records and radiographs for children diagnosed with PI between 1990 and 1998.
  • Analysis of underlying conditions, clinical presentation, treatment approaches, and outcomes.

Main Results:

  • Thirty-seven children (mean age 4 years) were included in the study.
  • Thirty-two children had identifiable risk factors, with 25 being immunocompromised.
  • Conservative management led to PI resolution in 35 children; two required surgery, and one patient died.

Conclusions:

  • Benign PI occurs in children, frequently associated with underlying risk factors, particularly immunosuppression.
  • Clinical deterioration is a key indicator for surgical intervention.
  • The majority of pediatric PI cases resolve with conservative management.

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