Pneumatosis intestinalis: An important radiological clue in a case of missed perforated appendicitis

Khairul Najmi Muhammad Nawawi1, Azlan Helmy Abd Samat2, Nik Farhan Nik Fuad3

  • 1Department of Medicine, Gastroenterology Unit,The National University of Malaysia Medical Centre, Cheras, Kuala Lumpur, Malaysia.

Insights

Pneumatosis intestinalis (PI), a rare finding of gas in the bowel wall, can indicate serious conditions. Prompt recognition of PI alongside clinical signs is crucial for timely surgical intervention and improved patient outcomes.

Area of Science:

  • Gastroenterology
  • Radiology
  • Surgical Pathology

Background:

  • Pneumatosis intestinalis (PI) is a radiological sign indicating gas within the intestinal wall.
  • It is associated with a broad range of pathologies, from benign to critical, life-threatening conditions.
  • Early and accurate diagnosis is essential for appropriate patient management.

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