Intestinal Edema

Colonic wall thickening in patients with cirrhosis: CT findings and clinical implications.

“…Thirty T he association between intestinal wall edema and cirrhosis is well recognized [1][2][3][4].…”

“…Hypoproteinemia has been postulated as the primary cause [1,3], and wall thickening in the small and large bowel has been generally thought to be diffuse and caused by changes in oncotic pressure that result in wall edema [1][2][3] (Tables 1 and 2). Colonic pneumatosis was seen in two patients, neither of whom were transplant recipi- :..'j.6(100) …”

Clostridium sp. Bacteremia in a Cirrhotic Patient with an Unresecable Hepatocellular Carcinoma: As Fatal as We Thought?

“…Nevertheless, primary Clostridium bacteremia in cirrhotic patients is very uncommon and has not yet been reported at our hospital despite a review of all episodes of anaerobic bacteremia. The association between intestinal wall edema and cirrhosis is well recognized [4], and hypoproteinemia has been postulated as the primary cause [5]. Patients with severe cirrhosis who undergo CT can show assymptomatic colonic wall thickening limited predominantly to the right colon and related to changes in blood flow and hydrostatic pressures caused by portal hypertension [6]; but as in our case, colonic pneumatosis may indicate a more serious problem such as ischemia or infection.…”

Ascites in Cirrhosis of the Liver

“…1). Edema of the intestinal tract is not widely recognized as a problem in clinical medicine but it can often be identified to accompany portal hypertension as demon strated by X-ray [7,8], ultrasound [9], and on postmortem studies [10]. Its presence was clinically demonstrated in studies on tense cirrhotic ascites [11].…”