Small Intestinal Ischemia with Pneumatosis in a Young Adult: What Could Be the Cause?

Nidimusili, Amara; Mennella, Jenna; Shaheen, Khaldoon

doi:10.1155/2013/462985

Cited by 4 publications

(3 citation statements)

References 5 publications

(15 reference statements)

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“…The treatment involves wide-spectrum antibiotic therapy and parenteral nutrition and rehydration with the balancing of the electrolyte and acid-alkaline systems. There are also data confirming the efficiency of octreotide and hyperbaric oxygen [27][28][29][30][31]. None of our patients required surgery.…”

supporting

confidence: 73%

Pneumatosis intestinalis as a complication of acute diarrhoea in children

Więcek¹,

Grzybowska-Chłebowczyk²,

Olczak³

et al. 2018

polp

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Introduction: Pneumatosis of the intestine is often mentioned in the course of necrotising enterocolitis (NEC) in premature infants. Aim of the study: The aim of the study was to assess the course of pneumatosis intestinalis in acute diarrhoea and to analyse the factors in its development. Material and methods: The analysis included 10 children aged from three months to six years. All children underwent abdominal ultrasound examination, which revealed pneumatosis of the intestine. The analysis included pregnancy and delivery history, clinical symptoms, and the results of laboratory tests. Results: Bloody diarrhoea dominated the clinical picture in 9/10 patients (90%). Abnormal pregnancy/delivery history was reported in six children. NEC was concluded in 3/10 children. Infections with rotavirus were reported win 7/10 patients, Klebsiella pneumoniae were cultured in the stools of 4/10 children. Food allergy was observed in 5/10 patients and immunoglobulin deficiency in three children. Conclusions: This study describes some cases of pneumatosis intestinalis as a complication following acute diarrhoea, as observed in children below the age of 12 months. Abnormalities in pregnancy/delivery history, low body mass, and co-occurrence of food allergy were the risk factors.

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supporting

confidence: 73%

Pneumatosis intestinalis as a complication of acute diarrhoea in children

Więcek¹,

Grzybowska-Chłebowczyk²,

Olczak³

et al. 2018

polp

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“…In addition, there were 45 case reports among the included articles. 2 - 4 , 8 - 49 In addition to case reports, there were case series. 1 , 50 - 56 In the final step, manuscripts where the route of cocaine consumption was missing were excluded.…”

Section: Resultsmentioning

confidence: 99%

Does the Route of Cocaine Use Affect the Mortality and Outcomes of Cocaine-Induced Intestinal Ischemia? A Systematic Review

Farooq

Gondal

Susheela

et al. 2021

Journal of Investigative Medicine High Impact Case Reports

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Intestinal ischemia results from diminished perfusion of the colon resulting in tissue hypoxia. Anecdotal reports suggest that cocaine-induced intestinal ischemia has the highest mortality and longer length of stay among the vasoconstrictors. The present study aimed to summarize the available studies in the literature to assess the effect of routes of consumption on the outcomes of cocaine-induced intestinal ischemia. We conducted a systematic search of MEDLINE from inception through October 2019. Studies of cocaine-induced intestinal ischemia were included if data were available on comorbidities, mortality, and hospital length of stay (LOS). The study’s primary outcomes were mortality and need for surgery, while secondary outcomes included the hospital length of stay, LACE index, and hospital score. Statistical tests used included linear and binary logistic regression. STATA 2015 was used, and P < 0.05 was statistically significant. Of the 304 studies, 8 case series and 45 case reports (n = 69 patients) met the inclusion criteria. Different routes of cocaine use had similar mortality odds and the need for surgery for intestinal ischemia. Hospital LOS showed significant difference among the subgroups. Readmission scores (LACE and hospital score) were higher for intravenous and smoking than ingestion and intranasal use ( P < 0.05). In conclusion, different routes of cocaine use appear to have similar mortality odds for intestinal ischemia, which vary significantly among the different routes of cocaine consumption for the length of stay and readmission scores. Prompt recognition of the route of cocaine use is vital to improve the outcome. Large-scale and well-designed observational studies are needed to investigate this topic further.

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“…Other symptoms include abdominal distention, shock, sepsis, hematochezia, and diarrhea. Other causes of ischemic colitis include vasculitis, embolism, hypercoagulable states, colonic obstruction, and drugs ( 6 ). Ischemic colitis in younger patients should prompt the search for such causes.…”

Section: Discussionmentioning

confidence: 99%

Amphetamine-Related Ischemic Colitis Causing Gastrointestinal Bleeding

Panikkath

2016

Baylor University Medical Center Proceedings

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Small Intestinal Ischemia with Pneumatosis in a Young Adult: What Could Be the Cause?

Cited by 4 publications

References 5 publications

Pneumatosis intestinalis as a complication of acute diarrhoea in children

Pneumatosis intestinalis as a complication of acute diarrhoea in children

Does the Route of Cocaine Use Affect the Mortality and Outcomes of Cocaine-Induced Intestinal Ischemia? A Systematic Review

Amphetamine-Related Ischemic Colitis Causing Gastrointestinal Bleeding

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