Portomesenteric venous gas and pneumatosis intestinalis secondary to mesenteric ischaemia

Vassallo, James; Gauci, Julia; Cortis, Kelvin

doi:10.1136/bcr-2016-215977

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2017

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“…The most common cause of PI and portomesenteric air is bowel ischaemia (70% of cases), which carries a high mortality rate of up to 75–90%. 1 …”

Section: Discussionmentioning

confidence: 99%

Oesophageal pneumatosis in a case of bowel ischaemia

Pasquali

Leonardo²,

Morsiani³

et al. 2017

BJR|case reports

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Pneumatosis intestinalis (PI) is a condition in which cystic collections of gas develop within the gastrointestinal wall, forming submucosal or subserosal “bubbles”. The radiologic manifestations are often dramatic and most notably are associated with life-threatening bowel ischaemia. PI may occur as a primary type but is usually secondary in nature, attributable to a wide spectrum of causes (benign and fulminant), ranging from immunosuppression to bowel infarction. Herein, we report a case of massive and extensive PI in a patient with small bowel ischaemia, having both benign and serious clinical origins.

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“…The most common cause of PI and portomesenteric air is bowel ischaemia (70% of cases), which carries a high mortality rate of up to 75–90%. 1 …”

Section: Discussionmentioning

confidence: 99%