Pneumatosis Intestinalis and Gas in Portal Vein Associated with Small Bowel Obstruction

Alkhatib, Amer A.; Elkhatib, Fateh A.; Alkhatib, Omar; Zurcher, Robert

doi:10.1016/j.jemermed.2009.02.008

Cited by 4 publications

(3 citation statements)

References 4 publications

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“…5 However, PCI itself caused partial jejunal obstruction in our case. 5 However, PCI itself caused partial jejunal obstruction in our case.…”

Section: Bowel Obstruction Caused By Repeated Upper Gi Endoscopy-indumentioning

confidence: 45%

Bowel obstruction caused by repeated upper GI endoscopy–induced pneumatosis cystoides intestinalis

Buluş¹,

Köklü²,

Yavuz³

et al. 2012

Gastrointestinal Endoscopy

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“…5 However, PCI itself caused partial jejunal obstruction in our case. 5 However, PCI itself caused partial jejunal obstruction in our case.…”

Section: Bowel Obstruction Caused By Repeated Upper Gi Endoscopy-indumentioning

confidence: 45%

Bowel obstruction caused by repeated upper GI endoscopy–induced pneumatosis cystoides intestinalis

Buluş¹,

Köklü²,

Yavuz³

et al. 2012

Gastrointestinal Endoscopy

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“…Three of our patients subsequently required colostomy for managing refractory constipation. Constipation and intestinal obstruction are established causes of PI . Caecal pneumatosis is reported in malignant colonic obstruction in adults .…”

Section: Discussionmentioning

confidence: 99%

Pneumatosis intestinalis in a cohort of children with neurological impairment: A patient group with a management dilemma

Awad

Short

Niyogi

et al. 2017

J Paediatrics Child Health

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“…The mortality rates of PI are reported 65%-86% in previous studies when accompanied by portal venous gas (PVG) [11][12][13][14] . However, recently numerous non-ischemic causes of PI have been described because of the improved sensitivity in detection of PI by computed tomography (CT): non-ischemic causes of PI include inflammatory bowel disease, intestinal dilatation, connective tissue disease, organ transplantation or post-operative change, immune-deficiency status, and chemotherapy [15][16][17][18][19] . PI induced by these non-ischemic causes commonly show a benign clinical course and require conservative management rather than surgery.…”

Section: Introductionmentioning

confidence: 99%

Benign versus life-threatening causes of pneumatosis intestinalis: differentiating CT features

Hong

Hwang

et al. 2018

Rev. Assoc. Med. Bras.

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SUMMARY OBJECTIVE: To assess the diagnostic performance of CT findings in differentiating causes of pneumatosis intestinalis (PI), including benign and life-threatening causes. METHODS: All CT reports containing the word “pneumatosis” were queried from June 1st, 2006 to May 31st, 2015. A total of 42 patients with PI were enrolled (mean age, 63.4 years; 23 males and 19 females) and divided into two groups on based on electronic medical records: a benign group (n=24) and a life-threatening group (n=18). Two radiologists reviewed CT images and evaluated CT findings including bowel distension, the pattern of bowel wall enhancement, bowel wall defect, portal venous gas (PVG), mesenteric venous gas (MVG), extraluminal free air, and ascites. RESULTS: CT findings including bowel distension, decreased bowel wall enhancement, PVG, and ascites were more commonly identified in the life-threatening group (all p<0.05). All cases with PVG were included in the life-threatening group (8/18 patients, 44.4%). Bowel wall defect, extraluminal free air, and mesenteric venous gas showed no statistical significance between both groups. CONCLUSION: PI and concurrent PVG, bowel distension, decreased bowel wall enhancement, or ascites were significantly associated with life-threatening causes and unfavorable prognosis. Thus, evaluating ancillary CT features when we encountered PI would help us characterize the causes of PI and determine the appropriate treatment option.

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Pneumatosis Intestinalis and Gas in Portal Vein Associated with Small Bowel Obstruction

Cited by 4 publications

References 4 publications

Bowel obstruction caused by repeated upper GI endoscopy–induced pneumatosis cystoides intestinalis

Bowel obstruction caused by repeated upper GI endoscopy–induced pneumatosis cystoides intestinalis

Pneumatosis intestinalis in a cohort of children with neurological impairment: A patient group with a management dilemma

Benign versus life-threatening causes of pneumatosis intestinalis: differentiating CT features

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