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Pneumatosis intestinalis--a pitfall for surgeons?

C Braumann1, C Menenakos, C A Jacobi

  • 1Department of General, Visceral, Vascular and Thoracic Surgery, Humboldt University of Berlin, Charité Campus Mitte, Germany. chris.braumann@charite.de

Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society
|May 4, 2005
PubMed
Summary

Pneumatosis intestinalis (PI), a rare condition with gas in the GI tract wall, often links to other diseases. This study highlights PI in mixed connective tissue disease, impacting surgical decisions.

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Area of Science:

  • Gastroenterology
  • Internal Medicine
  • Surgical Pathology

Background:

  • Pneumatosis intestinalis (PI) involves gas cysts in the gastrointestinal tract wall, with primary forms being rare.
  • PI typically arises secondary to various conditions, including autoimmune diseases, infections, and neoplasms.

Observation:

  • A 69-year-old female patient with mixed connective tissue disease experienced recurrent pneumatosis intestinalis, requiring multiple interventions.
  • Literature review identified 13 additional cases of PI associated with underlying mixed connective tissue disease.

Findings:

  • The study suggests a significant association between pneumatosis intestinalis and mixed connective tissue disease.
  • Published literature indicates that many cases of PI with pneumoperitoneum are managed conservatively, questioning the necessity of surgical intervention.

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Implications:

  • The findings underscore the importance of considering underlying systemic diseases, such as mixed connective tissue disease, in patients with PI.
  • Accurate diagnosis and appropriate management strategies are crucial, as surgical intervention may not always be indicated for PI, even with pneumoperitoneum.