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Pneumatosis intestinal

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https://www.readbyqxmd.com/read/27902668/pneumatosis-intestinalis-due-to-child-abuse
#1
Stephanie Anne Deutsch, Cindy W Christian
Pneumatosis intestinalis (PI) and the presence of portal venous gas (PVG) are commonly considered pathognomonic for necrotizing enterocolitis in the neonatal period; however, these 2 radiographic findings have been documented in all age groups in a variety of clinical settings and medical conditions including respiratory, cardiac, rheumatologic, gastrointestinal disorders, and traumatic injury. In children, intramural dissection of intestinal gas in the absence of clinical symptoms suggestive of necrotizing enterocolitis should raise concern for a traumatic etiology, including injuries sustained from child physical abuse...
November 29, 2016: Pediatric Emergency Care
https://www.readbyqxmd.com/read/27858375/diagnosis-of-non-occlusive-acute-mesenteric-ischemia-in-the-intensive-care-unit
#2
Simon Bourcier, Ammar Oudjit, Geoffrey Goudard, Julien Charpentier, Sarah Leblanc, Romain Coriat, Hervé Gouya, Bertrand Dousset, Jean-Paul Mira, Frédéric Pène
BACKGROUND: Non-occlusive mesenteric ischemia (NOMI) is a common complication and accounts for a major cause of death in critically ill patients. The diagnosis of NOMI with respect to the eventual indications for surgical treatment is challenging. We addressed the performance of the diagnostic strategy of NOMI in the intensive care unit, with emphasis on contrast-enhanced abdominal CT-scan. METHODS: This was a retrospective monocenter study. Patients with clinically suspected acute mesenteric ischemia were included if a comprehensive diagnostic workup was carried out including surgical and/or endoscopic digestive explorations...
December 2016: Annals of Intensive Care
https://www.readbyqxmd.com/read/27800516/a-fatal-case-of-hepatic-portal-venous-gas-associated-with-hemodialysis
#3
Tahmina Begum, Mashrafi Ahmed
Hepatic portal venous gas is a rare cause of acute abdomen caused by leakage of air from the gastrointestinal tract to the portal venous system. The mortality is high, particularly when associated with intestinal ischemia or necrosis. We describe a fatal case of hepatic portal venous gas and pneumatosis intestinalis due to hemodialysis-related hypotension and severe atherosclerotic disease.
August 2016: ACG Case Reports Journal
https://www.readbyqxmd.com/read/27771601/r-gas-under-diaphragm
#4
Maddibande Ramachar Sreevathsa, Khyati Melanta
INTRODUCTION: The most common cause of gas under diaphragm is hollow viscous perforation. In 10% of cases it can be due to rare causes, both abdominal and extra-abdominal, one of them being intra abdominal infection by gas forming organisms. PRESENTATION OF THE CASE: A 51 year old male patient, a poorly controlled diabetic, presented with a second episode of severe pain abdomen and abdominal distention, with lower abdominal tenderness. Plain Xray of the abdomen in erect posture showed gas under the right dome of diaphragm and ultrasound abdomen confirmed gross pneumoperitoneum...
October 14, 2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27750342/-chronic-benign-pneumatosis-intestinalis
#5
Christoph Kloth, Konstantin Nikolaou, Stephan Clasen
History and clinical findings: We present the case of a 63-year-old male patient free of complaints with oncological follow up examination after renal cell carcinoma (RCC) who presented extent air in the intestinal wall. Investigations and diagnosis: The computed tomography showed a pronounced pneumatosis intestinalis with punctum maximum in the part of left and less right colon flexure. Free air as a sign of perforation was not found. Treatment and course: Retrospectively, the pneumatosis intestinalis was found in fluctuating extent in several preliminary CT and MRI investigations...
October 2016: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/27721738/a-case-of-intussusception-associated-with-pneumatosis-cystoides-intestinalis
#6
Taku Fujiya, Masahiro Iwabuchi, Mikako Sugimura, Katsuaki Ukai, Keiichi Tadokoro
Pneumatosis cystoides intestinalis (PCI) is an uncommon disease that generally lacks symptoms and is rarely associated with intussusception. A 29-year-old man visited our hospital for right upper abdominal pain. Computed tomography (CT) scan revealed multiple air-filled cysts along the intestinal wall and a pseudokidney sign in the transverse colon. A gastrographin enema examination showed a so-called crab finger appearance and multiple elevated translucency in the transverse colon. From these findings, the diagnosis of intussusception associated with PCI was made...
May 2016: Case Reports in Gastroenterology
https://www.readbyqxmd.com/read/27580531/spontaneous-intramural-intestinal-hemorrhage-versus-acute-mesenteric-ischemia-by-ct-evaluation
#7
Chia-Ying Tseng, Chia-Ming Chang, Shu-Chuan Yang, Julia Chia-Yu Chang, Jen-Dar Chen, Hsien-Hao Huang, Chorng-Kuang How, David Hung-Tsang Yen, Mu-Shun Huang
Objective The purpose of our study was to differentiate the imaging findings of patients with spontaneous intramural intestinal hemorrhage (SIIH) from those with acute mesenteric ischemia (AMI) after abdominal computed tomography (CT) survey in the emergency department. Methods We retrospectively included 83 patients diagnosed with SIIH or AMI after abdominal CT. Results The mean ages of 30 SIIH patients and 53 AMI patients were 74.4±14.6 years and 75.8±11.2 years, respectively. Patients with SIIH had significantly thicker maximal intestinal wall thickening (14...
2016: Internal Medicine
https://www.readbyqxmd.com/read/27503914/acute-necrotizing-colitis-with-pneumatosis-intestinalis-in-an-amazonian-manatee-calf
#8
Guilherme Guerra Neto, Marina Galvão Bueno, Rodrigo Otavio Silveira Silva, Francisco Carlos Faria Lobato, Juliana Plácido Guimarães, Gregory D Bossart, Miriam Marmontel
On 25 January 2014, a 1 mo old female Amazonian manatee Trichechus inunguis calf weighing 12 kg was rescued by air transport in Guajará, Brazil, and transferred to Mamirauá Institute's Community-based Amazonian Manatee Rehabilitation Center. The calf presented piercing/cutting lesions on the back, neck, and head, in addition to dehydration and intermittent involuntary buoyancy. X-ray analysis revealed a large amount of gases in the gastrointestinal tract. Daily procedures included wound cleaning and dressing, clinical and laboratory monitoring, treatment for intestinal tympanism, and artificial feeding...
August 9, 2016: Diseases of Aquatic Organisms
https://www.readbyqxmd.com/read/27495256/pneumatosis-intestinalis-after-gefitinib-therapy-for-pulmonary-adenocarcinoma-a-case-report
#9
Ai Maeda, Masao Nakata, Katsuhiko Shimizu, Takuro Yukawa, Shinsuke Saisho, Riki Okita
BACKGROUND: Pneumatosis intestinalis (PI) is defined as the presence of gas in the bowel wall and is a relatively rare finding. PI has been associated with various pathological conditions and medications. Although several chemotherapeutic agents and molecular targeted therapy agents are reported to be associated with PI, there have been few reports describing the association between the anti-epidermal growth factor receptor agent gefitinib, a tyrosine kinase inhibitor (TKI), and PI. The present report describes a case of PI secondary to gefitinib therapy...
2016: World Journal of Surgical Oncology
https://www.readbyqxmd.com/read/27401839/diagnostic-value-of-intestinal-fatty-acid-binding-protein-for-pneumatosis-intestinalis
#10
Shokei Matsumoto, Kazuhiko Sekine, Hiroyuki Funaoka, Tomohiro Funabiki, Motoyasu Yamazaki, Tomohiko Orita, Kei Hayashida, Mitsuhide Kitano
BACKGROUND: Pneumatosis intestinalis (PI) is known as a sign of a life-threatening bowel ischemia. We aimed to evaluate the utility of intestinal fatty acid-binding protein (I-FABP) in the diagnosis of pathologic PI. METHODS: All consecutive patients who presented to our emergency department with PI were prospectively enrolled. The diagnostic performance of I-FABP for pathologic PI was compared with that of other traditional biomarkers and various parameters. RESULTS: Seventy patients with PI were enrolled...
May 26, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27393738/value-in-palliative-cancer-surgery-a-critical-assessment
#11
REVIEW
Ian W Folkert, Robert E Roses
Emergency operations are associated with increased morbidity, mortality, and cost compared to elective operations. Palliative and emergent surgery for patients with advanced malignancies is associated with additional risk and remains controversial. Emergent or palliative interventions can be broadly categorized according to indication. Tumor related complications (bleeding, obstruction, or perforation) merit specific consideration, as do specific presentations such as pneumoperitoneum, pneumatosis intestinalis, or peritonitis from other causes that may arise during active therapy for malignancies...
September 2016: Journal of Surgical Oncology
https://www.readbyqxmd.com/read/27386026/-intestinal-cystic-pneumatosis-secondary-to-a-peptic-ulcer-report-of-three-cases
#12
Karim Ibn Majdoub Hassani, Issam Yazough, Said Ait Laalim, Imane Toughrai, Khalid Mazaz
No abstract text is available yet for this article.
2015: Pan African Medical Journal
https://www.readbyqxmd.com/read/27381347/methotrexate-induced-pneumatosis-intestinalis-under-hemodialysis-patient
#13
Akira Mima, Dai Nagahara, Kosuke Tansho
Pneumatosis intestinalis (PI) is a rare disorder characterized by the gas within the intestinal mucosa. This is the first report methotrexate (MTX) induced PI under hemodialysis (HD) patient. A 46-year-old man suffered rheumatoid arthritis and underwent HD at local HD center. After the initial induction of MTX, the patient showed epigastralgia and diarrhea. He was referred to our hospital and abdominal computed tomography showed significant large intestinal edema and free intraperitoneal air consistent with PI...
July 5, 2016: Hemodialysis International
https://www.readbyqxmd.com/read/27376775/a-rare-case-of-ischaemic-pneumatosis-intestinalis-and-hepatic-portal-venous-gas-in-an-elderly-patient-with-good-outcome-following-conservative-management
#14
E J Nevins, P Moori, C S J Ward, K Murphy, C E Elmes, J V Taylor
INTRODUCTION: Pneumatosis intestinalis (PI) and hepatic portal venous gas (HPVG) are typically associated and are likely to represent a spectrum of the same disease. The causes of both entities range from benign to life-threatening conditions. Ischaemic causes are known to be fatal without emergency surgical intervention. PRESENTATION OF CASE: In this case a 93year old male experienced acute abdominal pain radiating to his back, with nausea and vomiting and a 2-week history of altered bowel habit...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27374673/improvements-in-pneumatosis-cystoides-intestinalis-and-hepatic-portal-venous-gas-with-conservative-therapy-in-a-patient-on-maintenance-dialysis
#15
Kenta Torigoe, Hideyuki Arai, Ayuko Yamashita, Yoshiaki Muraya, Yoko Obata, Tomoya Nishino
A 77-year-old man on maintenance dialysis developed hypotension, nausea and abdominal pain one hour after beginning to undergo hemodialysis. Abdominal computed tomography (CT) showed gas shadows in the intrahepatic portal vein and the small intestinal wall, but no signs indicating intestinal necrosis. Three days later, the gas shadows on abdominal CT disappeared by conservative therapy. In cases with both pneumatosis cystoides intestinalis and hepatic portal venous gas, intestinal necrosis should therefore be suspected and surgical therapy should also be considered, particularly in hemodialysis patients with a risk of intestinal ischemia...
2016: Internal Medicine
https://www.readbyqxmd.com/read/27328580/idiopathic-pneumatosis-intestinalis-requiring-decompressive-laparotomy
#16
Andrew McGregor, Khaldoun Bekdache, Laura Choi
INTRODUCTION: Pneumatosis intestinalis (PI) and hepatic portal venous gas (HPVG) are radiographic signs of questionable bowel ischemia. Pneumatosis intestinalis can be associated with possible benign conditions such as obstructive airway disease. We present a patient who demonstrated clinical signs of overt sepsis with corresponding radiological findings of PI and HPVG concering for possible small or large bowel ischemia. However at exploration, no sign of small or large bowel injury or ischemia could be detected...
May 2016: Connecticut Medicine
https://www.readbyqxmd.com/read/27242944/pneumatosis-intestinalis-associated-with-juvenile-dermatomyositis
#17
Takako Miyamae, Naoko Ishiguro, Maria Yonezawa, Katsutoshi Tokushige, Hisashi Yamanaka
We herein report a case of pneumatosis intestinalis (PI), a condition characterized by the presence of gas within the wall of the digestive tract, associated with juvenile dermatomyositis (JDM). A 16-year-old girl, diagnosed with JDM at the age of 10, presented with abdominal pain and distention. She developed PI based on radiological findings that also included a dilated large intestine, extraluminal gas, and secondary diaphragmatic elevation. She was observed with medical therapy including bowel rest and hyperbaric oxygen therapy...
2016: Case Reports in Rheumatology
https://www.readbyqxmd.com/read/27239392/cerebral-venous-air-embolism-secondary-to-mesenteric-infarction
#18
Ittikorn Spanuchart, Aileen Tamura, Brent Matsuda, Qi Jie Nicholas Leo, Hiro Sung
Cerebral air embolism is a rare, yet potentially fatal condition. We present a case of retrograde cerebral venous air emboli arising from the hepatic portal venous system, secondary to a mesenteric infarction. A 69-year-old man with a history of gastrointestinal amyloidosis presented with fever and lethargy. Computed tomography of the brain detected multiple foci of air in the right frontal, fronto-parietal, and left lateral frontal sulci consistent with cerebral venous air emboli. Computed tomography of the abdomen and pelvis revealed moderate thickening and dilatation of the small bowel with diffuse scattered intestinal pneumatosis suggestive of mesenteric infarction with resultant extensive intrahepatic portal venous air...
May 2016: Hawai'i Journal of Medicine & Public Health: a Journal of Asia Pacific Medicine & Public Health
https://www.readbyqxmd.com/read/27206438/-clinical-course-of-three-cases-of-pneumatosis-intestinalis
#19
Il Kim, Jin Il Kim, Eui Jong Kwon, Jae Hyuk Jang, Sung Min Jung, Hyeon Jin Seong, Dae Young Cheung, Soo Hern Park
Pneumatosis cystoides intestinalis (PCI) is a rare condition characterized by multiple gas-filled cysts of varying size in the wall of gastrointestinal tract. PCI may idiopathic or secondary to various disorders. The etiology and pathogenesis of PCI are unclear. Treatment is usually conservative, and includes oxygen and antibiotics therapy. Surgery is reserved for cases of suspected inconvertible intestinal obstruction or perforation. Eleven patients who were diagnosed with PI between 2005 and 2015 were reviewed...
May 25, 2016: Korean Journal of Gastroenterology, Taehan Sohwagi Hakhoe Chi
https://www.readbyqxmd.com/read/27106233/clinical-significance-of-pneumatosis-intestinalis-correlation-of-mdct-findings-with-treatment-and-outcome
#20
Marc-Olivier Treyaud, Rafael Duran, Marc Zins, Jean-Francois Knebel, Reto A Meuli, Sabine Schmidt
OBJECTIVES: To evaluate the clinical significance of pneumatosis intestinalis (PI) including the influence on treatment and outcome. METHOD AND MATERIALS: Two radiologists jointly reviewed MDCT-examinations of 149 consecutive emergency patients (53 women, mean age 64, range 21-95) with PI of the stomach (n = 4), small (n = 68) and/or large bowel (n = 96). PI extension, distribution and possibly associated porto-mesenteric venous gas (PMVG) were correlated with other MDCT-findings, risk factors, clinical management, laboratory, histopathology, final diagnosis and outcome...
January 2017: European Radiology
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