Pneumatosis intestinalis and portal‐venous gas: An unusual presentation of acute appendicitis

Tuite, David; Byrne, A.T.; Colhoun, Eric; Torreggiani, W C

doi:10.1111/j.1440-1673.2007.01848.x

Cited by 11 publications

(3 citation statements)

References 9 publications

(14 reference statements)

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“…There are a few case reports of ruptured appendicitis mimicking radiographically as pneumatosis intestinalis in older children and adults [9,10], such a presentation had never been previously described in a neonate. In our case, we speculate that acute appendicitis and the combination of ileus and inflammation led to the unusual complication of gas entering the wall of the adjacent small bowel.…”

Section: Discussionmentioning

confidence: 88%

Isolated ruptured appendicitis presenting as pneumatosis intestinalis in a premature neonate

et al. 2011

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Section: Discussionmentioning

confidence: 88%

Isolated ruptured appendicitis presenting as pneumatosis intestinalis in a premature neonate

et al. 2011

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“…The most important finding is that portal venous gas can appear after rectal surgery without anastomotic leakage or bowel necrosis. Portal venous gas has been reported in association with acute pancreatitis 7 , acute appendicitis 8 , gastrojejunal anastomotic leakage after laparoscopic gastric bypass 9 , and percutaneous endoscopic gastrostomy tube placement 10 . To the best of our knowledge, however, this is the first report of portal venous gas in association with laparoscopic rectal surgery.…”

Section: Discussionmentioning

confidence: 99%

A Case of Portal Venous Gas after Rectal Surgery without Anastomotic Leakage or Bowel Necrosis

et al. 2015

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Portal venous gas has traditionally been considered an indicator of a poor prognosis due to bowel necrosis. Portal venous gas has recently been detected in patients with various clinical conditions, such as Crohn's disease, chemotherapy, and blunt abdominal injury without bowel necrosis. We herein report the first case of a patient with rectal cancer in whom portal venous gas developed after low anterior resection without anastomotic leakage or bowel necrosis. A 66-year-old man who had undergone low anterior resection started having severe diarrhea the day after the operation. A fever was present for 2 days after the operation but resolved on postoperative day 3. The patient complained of abdominal pain 5 days postoperatively. Computed tomography showed portal venous gas. Emergency open laparotomy was performed, but only limited ascites fluid without leakage or bowel necrosis was found. We irrigated the abdominal cavity and performed an ileostomy with insertion of a drainage tube in the rectovesical pouch. Only serous ascites was discharged through the drainage tube. The portal venous gas disappeared 3 days after the second operation. The patient was discharged in good condition 21 days after the first operation. Portal venous gas can develop after rectal surgery without anastomotic leakage or bowel necrosis. Conservative treatment is reasonable for patients without signs of bowel necrosis or panperitonitis. However, patients with portal venous gas must be carefully observed because portal venous gas may be life threatening.

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“…Pneumatosis intestinalis (PI) or pneumatosis cystoides intestinalis, in association with portal venous gas, is a rare finding in children and young adults. It is characterized by gas-filled cysts within the bowel wall ( 1 , 2 ).…”

Section: Introductionmentioning

confidence: 99%

Abdominal Tuberculosis in a Child Presenting with Radiological Evidence of Pneumatosis Intestinalis and Portal Venous Gas

Alp

Orbak

Sepetcigil

et al. 2010

J Health Popul Nutr

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Pneumatosis intestinalis, in association with portal venous gas, is a rare finding in children and young adults. In radiological studies, it is characterized by gas-filled cysts within the bowel-wall. It is often a sign of the serious significant underlying illness and is associated with a poor prognosis. A case of pneumatosis intestinalis and portal venous gas associated with abdominal tuberculosis in a child is presented here. Despite responding well to anti-tubercular treatment, he died suddenly at home, two months after discharge. It is recommended that cases with pneumatosis intestinalis should be carefully observed, although symptoms appear to be improving.

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Pneumatosis intestinalis and portal‐venous gas: An unusual presentation of acute appendicitis

Cited by 11 publications

References 9 publications

Isolated ruptured appendicitis presenting as pneumatosis intestinalis in a premature neonate

Isolated ruptured appendicitis presenting as pneumatosis intestinalis in a premature neonate

A Case of Portal Venous Gas after Rectal Surgery without Anastomotic Leakage or Bowel Necrosis

Abdominal Tuberculosis in a Child Presenting with Radiological Evidence of Pneumatosis Intestinalis and Portal Venous Gas

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