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[Intestinal pneumatosis]

A T Calderón Duque1, J Mayol Martínez, J Martínez-Sarmiento

  • 1Servicio de Cirugía General y del Aparato Digestivo I, Hospital Clínico Universitario San Carlos, Madrid.

Gastroenterologia Y Hepatologia
|January 12, 1999
PubMed
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Intestinal pneumatosis, a rare condition, can mimic visceral perforation when accompanied by pneumoperitoneum. This study highlights diagnostic challenges and favorable outcomes with timely intervention or conservative management.

Area of Science:

  • Gastroenterology
  • Radiology
  • Surgical Pathology

Background:

  • Intestinal pneumatosis is a rare condition that presents diagnostic challenges.
  • It can be mistaken for visceral perforation, especially when pneumoperitoneum is present.

Observation:

  • This study presents four cases of intestinal pneumatosis.
  • Three of these cases were associated with pneumoperitoneum.
  • Diagnosis was achieved intraoperatively in two patients with acute gastrointestinal events and via CT scan and colonoscopy in two others.

Findings:

  • Two patients required emergency surgery for associated conditions like intestinal volvulus and acute cholecystitis.
  • Two patients were managed conservatively after diagnosis via CT and colonoscopy.
  • All patients experienced favorable outcomes with resolution of radiographic signs.

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Implications:

  • Accurate diagnosis of intestinal pneumatosis is crucial for appropriate management.
  • Conservative treatment can be effective in select cases.
  • Prompt surgical intervention is necessary for associated acute gastrointestinal emergencies.