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Updated: Apr 18, 2026

Development of Obliterative Bronchiolitis in a Murine Model of Orthotopic Lung Transplantation
Published on: July 10, 2012
Massive gas under diaphragm after lung transplantation: pneumatosis intestinalis simulating bowel perforation
Rahul Chandola1, Abdelsalam Elhenawy1, Dale Lien1
1Division of Heart and Lung Transplant, University of Alberta Hospital, Edmonton, Alberta, Canada.
Abstract:
The management of pneumatosis intestinalis (PI) can vary from urgent surgical procedure to conservative treatment. Uncommonly, it has been reported in association with organ transplantation, and very few cases have been reported after lung transplantation. The transplant physicians should be well versed in differentiating the fatal form of PI from a benign one. Here, we describe a case of PI with pneumoperitoneum mimicking intestinal perforation after bilateral lung transplantation; this case posed a therapeutic dilemma. After discussion with the multidisciplinary teams, conservative management was chosen to which the patient responded successfully. Clinical signs and imaging features in these situations can mimic true bowel perforation. Hence, a correct diagnosis and proper assessment is imperative.
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