Pneumatosis intestinalis in an adult patient with antral stenosis and midgut malrotation

Mehrkhu, Mehrnaz; Dehkordi, Iman Shirvani; Dehkordi, Pooya Shirvani; Dehkordi, Amir Shirvani

doi:10.1136/bcr-2017-223238

Cited by 3 publications

(2 citation statements)

References 11 publications

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“…CT is the test of choice for detecting the main diagnostic feature of PCI (figures 2 and 3), that is, multiple grape-like cystic injuries in the intestinal wall, especially when using a lung window setting 7,24,41,42 . Similar abnormalities may be observed in the mesentery, omentum, and ligaments.…”

Section: Discussionmentioning

confidence: 99%

Management of pneumatosis cystoides intestinalis with pneumoperitoneum: 5-years systematic review

Piltcher-da-Silva¹,

Sasaki²,

Gallotti³

et al. 2022

CBR

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Introduction: Pneumatosis cystoides intestinalis (PCI) is a rare condition characterized by gas-filled cysts in the intestinal wall. Although rare, it may also involve other regions, such as the mesentery. PCI is classified as primary or secondary and is associated with multiple predisposing factors. It may be associated with either a benign condition or a potentially fatal condition, such as mesenteric ischemia. The objective of this study was to review the medical literature on the rare benign presentations of PCI, excluding cases associated with intestinal ischemia. Methods:We conducted a systematic literature review according to the PRISMA statement. We searched PubMed and LILACS databases for articles published between January 2015 and December 2020 using the following Medical Subject Headings: "pneumatosis cystoides intestinalis" and "pneumoperitoneum," "pneumatosis intestinalis," and "pneumoperitoneum" or "mesenteric pneumatosis." Results:We included 51 articles comprising 58 patients with PCI and pneumoperitoneum. Most patients were men, and mean patient age was 64.9 years. We identified an idiopathic etiology in 29.31% of cases, and the most common predisposing factor was immune dysfunction (29.31%). A total of 24.13% of patients were asymptomatic. The most commons symptoms were abdominal pain (43.10%), nausea and vomiting (41.37%), and abdominal distention (37.93%). Diagnostic surgery was conducted in 26 patients (44.82%). Only 1 patient underwent surgical treatment.Conclusions: PCI is a clinical condition that may have a benign etiology and not require surgery. Treatment of the benign etiology is conservative. Thus, life-threatening conditions should be excluded in all cases.

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Section: Discussionmentioning

confidence: 99%

Management of pneumatosis cystoides intestinalis with pneumoperitoneum: 5-years systematic review

Piltcher-da-Silva¹,

Sasaki²,

Gallotti³

et al. 2022

CBR

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“…2,3 En 85% de los casos se define como neumatosis intestinal secundaria, debido a que se halla asociado con otras enfermedades, tales como la inmunosupresión, enfermedades gastrointestinales, enfermedad inflamatoria intestinal (EII), enterocolitis, enfermedad pulmonar obstructiva, del tejido conectivo, infecciones por Clostridium difficile y, más comúnmente, con isquemia. [1][2][3]6 El 15% de los casos restantes Mujer de 55 años, quien acudió por dolor de siete días de evolución en el flanco y la fosa iliaca izquierda, el cual aumentó en forma gradual. Negó fiebre, náusea, vómito o alguna otra sintomatología.…”

unclassified

Neumatosis intestinal

Suárez¹,

Cornelio²,

Martínez³

et al. 2020

Acta Médica Grupo Ángeles

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Adult Presentations of Congenital Midgut Malrotation: A Systematic Review

et al. 2020

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Background Adult midgut malrotation is a rare cause of an acute abdomen requiring urgent intervention. It may also present in the non-acute setting with chronic, non-specific symptoms. The objective of this study is to identify the clinical features, appropriate investigations and current surgical management associated with adult malrotation. Methods A systematic review was conducted according to PRISMA guidelines, identifying confirmed cases of adult malrotation. Patient demographics, clinical features, investigation findings and operative details were analysed. Results Forty-five reports met the inclusion criteria, totalling 194 cases. Mean age was 38.9 years (n = 92), and 52.3% were male (n = 130). The commonest presenting complaints were abdominal pain (76.8%), vomiting (35.1%) and food intolerance (21.6%). At least one chronic symptom was reported in 87.6% and included intermittent abdominal pain (41.2%), vomiting (12.4%) and obstipation (11.9%). Computerised tomography scanning was the most frequent imaging modality (81.4%), with a sensitivity of 97.5%. The whirlpool sign was observed in 30.9%; abnormalities of the superior mesenteric axis were the commonest finding (58.0%). Ladd's procedure was the most common surgical intervention (74.5%). There was no significant difference in resolution rates between emergency and elective procedures (p = 0.46), but length of stay was significantly shorter for elective cases. (p = 0.009). There was no significant difference in risk of mortality, or symptom resolution, between operative and conservative management (p = 0.14 and p = 0.44, respectively). Conclusion Malrotation in the adult manifests with chronic symptoms and should be considered as a differential diagnosis in patients with abdominal pain, vomiting and food intolerance. Abbreviations CTComputerised tomography MRI Magnetic resonance imaging SMA Superior mesenteric axis

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Pneumatosis intestinalis in an adult patient with antral stenosis and midgut malrotation

Cited by 3 publications

References 11 publications

Management of pneumatosis cystoides intestinalis with pneumoperitoneum: 5-years systematic review

Management of pneumatosis cystoides intestinalis with pneumoperitoneum: 5-years systematic review

Neumatosis intestinal

Adult Presentations of Congenital Midgut Malrotation: A Systematic Review

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