Pneumatosis Intestinalis: A Rare Presentation of Crohn Disease Exacerbation

Gelfond, Daniel; Blanchard, Samra; Malkani, Anjali

doi:10.1097/mpg.0b013e3181eb686c

Cited by 2 publications

(2 citation statements)

References 8 publications

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“…PCI associated with SSc has been managed both surgically [10,15,16] and conservatively. [4,11,14,17] Likewise, conservative [3,18] and surgical management [7,[19][20][21] has been reported in PCI with underlying Crohn's disease. Determining the need for surgical intervention is perhaps the most important decision regarding PCI treatment.…”

Section: Discussionmentioning

confidence: 99%

A case of pneumatosis cystoides intestinalis in a patient with Crohn’s disease complicated by systemic sclerosis

Berger

Shenberger

2017

CRIM

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Pneumatosis cystoides intestinalis (PCI) is the rare clinical finding of gas accumulation within the gastrointestinal wall. It can be secondary to a variety of disease processes including Crohn’s disease and systemic sclerosis. The present case describes PCI associated with pneumoperitoneum and ascites as the initial presentation of systemic sclerosis in a 64-year-old female with a history of Crohn’s disease. The diagnosis of systemic sclerosis was delayed as PCI was initially attributed Crohn’s disease. This report reviews the pathogenesis, clinical presentation, and management of PCI in relation to both diseases.

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Section: Discussionmentioning

confidence: 99%

A case of pneumatosis cystoides intestinalis in a patient with Crohn’s disease complicated by systemic sclerosis

Berger

Shenberger

2017

CRIM

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“…Our patient's prior colonoscopy with biopsy can be a contributing factor to developing PI as well, as recent biopsy increases risk of gas dissection into submucosa by compromising colonic mucosal integrity [8]. Based on a PubMed search, only 4 case reports [9–12] in English journals of PI associated with Crohn's disease have been presented in the past 10 years, with supportive therapy and nonsurgical resolution achieved in at least 3 of 4 cases [10–12]. …”

Section: Discussionmentioning

confidence: 99%

Pneumatosis Intestinalis: Not Always a Surgical Indication

Zhang

Jun

Brennan

2012

Case Reports in Surgery

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We present a case of pneumatosis intestinalis (PI) of the colon in the setting of inflammatory bowel disease that was treated with medical management rather than emergent surgery. While the reflex response to extraluminal air in the abdomen is abdominal exploration, consideration of the clinical context in which PI is discovered and an understanding of a complete differential diagnosis of the sources of PI is critical to avoiding unnecessary surgery.

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Pneumatosis Intestinalis: A Rare Presentation of Crohn Disease Exacerbation

Cited by 2 publications

References 8 publications

A case of pneumatosis cystoides intestinalis in a patient with Crohn’s disease complicated by systemic sclerosis

A case of pneumatosis cystoides intestinalis in a patient with Crohn’s disease complicated by systemic sclerosis

Pneumatosis Intestinalis: Not Always a Surgical Indication

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