Avoiding laparotomy in nonsurgical pneumperitoneum

Hoover, Eddie L.; Cole, Gwendolyn D.; Mitchell, Lionel S.; Adams, Carlton Z.; Hassett, James M.

doi:10.1016/s0002-9610(05)80363-0

Cited by 69 publications

(67 citation statements)

References 14 publications

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“…In many circumstances, pneumatosis cystoides intestinalis is a benign condition, but in SSc, it may be associated with rapidly progressive SSc and death (77). It is important to distinguish benign intraperitoneal gas associated with pneumatosis from that associated with an intraabdominal catastrophe for which emergent surgery is indicated (78). Cutaneous telangiectasias are part of the CREST syndrome.…”

Section: The Stomach and Small Intestinementioning

confidence: 99%

Gastrointestinal motility disorders in scleroderma

Sjogren

1994

Arthritis & Rheumatism

334

228

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Section: The Stomach and Small Intestinementioning

confidence: 99%

Gastrointestinal motility disorders in scleroderma

Sjogren

1994

Arthritis & Rheumatism

334

228

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“…[21,22]. As in our patient pneumoperitoneum may have evolved from a subclinical perforation or be due to other factor that remain enigmatic.…”

Section: Discussionmentioning

confidence: 70%

Idiopathic Pneumoperitoneum in A Pediatric Patient: A Case Report

2017

ARC Journal of Clinical Case Reports

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“…The presence of certain clinical features in pneumatosis intestinalis may help to predict the necessity of surgical exploration. It has been reported that history and physical examination suggestive of an acute abdominal process, arterial pH <7.3, HCO3 <20 mmol/L, an elevated lactate level, an elevated serum amylase level, or the presence of portal venous gas are indicatives of the need of direct surgical intervention [7][8][9]. There are no specific clinical features described in HPVG to determine the treatment strategy and outcome.…”

Section: Discussionmentioning

confidence: 99%

Necrotizing pancreatitis presenting with hepatic portal venous gas and pneumatosis intestinalis

Salazar¹,

Escoto²,

Salazar³

2014

Int J Hepatobiliary Pancreat Dis

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A 68-year-old male with past medical history of diabetes mellitus and two previous episodes of mild acute pancreatitis was admitted to the hospital with a 12-hour history of severe epigastric pain and nausea. He reported no recent alcohol consumption, and current medication was metformin. On initial physical examination, he had a temperature of 38.5°C, a heart rate of 94 beats per minute, and a respiratory rate of 26 breaths per minute. The patient had moderate epigastric abdominal tenderness without peritoneal irritation. Laboratory examination revealed white blood cell count 16,100/mm 3 , hematocrit 46.40%, glucose 26.9 mmol/L, serum amylase 1564 U/L, serum lipase 4116 U/L, serum alanine aminotransferase 380 U/L, serum lactate dehydrogenase 421 U/ L, alkaline phosphatase 248 U/L, direct bilirubin 3.0 mg/dL, BUN 12 mg/dL. Calcium, triglyceride, and electrolyte values were normal. Electrocardiography (ECG) and chest X-ray were normal. He was treated with intravenous fluids and pain relief medication. Several hours after admission the patient deteriorated, became hypotensive and dyspneic with increasing epigastric pain and peritoneal irritation, and required mechanical ventilation. Contrast-enhanced computed tomography of abdomen revealed gas in the portal vein, gastric pneumatosis, necrosis of the pancreas and pneumatosis intestinalis (Panels A and B).

show abstract

Avoiding laparotomy in nonsurgical pneumperitoneum

Cited by 69 publications

References 14 publications

Gastrointestinal motility disorders in scleroderma

Gastrointestinal motility disorders in scleroderma

Idiopathic Pneumoperitoneum in A Pediatric Patient: A Case Report

Necrotizing pancreatitis presenting with hepatic portal venous gas and pneumatosis intestinalis

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