Pneumatosis intestinalis: An important radiological clue in a case of missed perforated appendicitis.
| Autor: | Muhammad Nawawi KN; Department of Medicine, Gastroenterology Unit,The National University of Malaysia Medical Centre, Cheras, Kuala Lumpur, Malaysia., Abd Samat AH; Department of Emergency, Faculty of Medicine, The National University of Malaysia Medical Centre, Cheras, Kuala Lumpur, Malaysia., Nik Fuad NF; Department of Radiology, Faculty of Medicine, The National University of Malaysia Medical Centre, Cheras, Kuala Lumpur, Malaysia., Yi LL; Department of Surgery, Faculty of Medicine, The National University of Malaysia Medical Centre, Cheras, Kuala Lumpur, Malaysia. |
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| Jazyk: | angličtina |
| Zdroj: | Turkish journal of emergency medicine [Turk J Emerg Med] 2020 Feb 17; Vol. 20 (2), pp. 86-89. Date of Electronic Publication: 2020 Feb 17 (Print Publication: 2020). |
| DOI: | 10.4103/2452-2473.278560 |
| Abstrakt: | Pneumatosis intestinalis (PI) is a rare radiological finding, characterized by the presence of gas in the bowel wall. It has a wide spectrum of possible underlying diagnosis ranging from benign to life-threatening conditions. We present a case of a previously healthy male who was initially presented with missed diagnosis of acute appendicitis which had led to perforated appendix. Failure to recognize the significance of PI and its correlation with other clinical information had caused the delay in his surgical intervention. Fortunately, the patient made a steady recovery and was discharged well. It is important to have a high clinical suspicion of life-threatening conditions whenever patients presented with a radiological clue of PI. Failure to incorporate this finding with other clinical clues might lead to devastating consequences and delay the necessary treatment. Competing Interests: Conflicts of interest None declared. (Copyright: © 2019 Turkish Journal of Emergency Medicine.) |
| Databáze: | MEDLINE |
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