Evaluation of pneumatosis intestinalis as a complication of lung transplantation.

Autor: Belloch Ripollés V; Servicio de Radiología, Hospital Universitario y Politécnico La Fe, Valencia, Spain. Electronic address: vicentebelloch94@gmail.com., Muñoz Núñez CF; Servicio de Radiología, Hospital Universitario y Politécnico La Fe, Valencia, Spain., Fontana Bellorín A; Unidad de Trasplante Pulmonar, Servicio de Cirugía Torácica, Hospital Universitario y Politécnico La Fe, Valencia, Spain., Batista Doménech A; Servicio de Radiología, Hospital Universitario y Politécnico La Fe, Valencia, Spain., Boukhoubza A; Servicio de Radiología, Hospital Universitario y Politécnico La Fe, Valencia, Spain., Parra Hernández M; Servicio de Radiología, Hospital Universitario y Politécnico La Fe, Valencia, Spain., Martí-Bonmatí L; Servicio de Radiología, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Jazyk: angličtina
Zdroj: Radiologia [Radiologia (Engl Ed)] 2024 Jul-Aug; Vol. 66 (4), pp. 314-325. Date of Electronic Publication: 2024 Jul 17.
DOI: 10.1016/j.rxeng.2023.01.013
Abstrakt: Introduction: Pneumatosis intestinalis is a radiological finding characterized by the presence of gas in the bowel wall that is associated with multiple entities. Our aim is to know its incidence in lung transplant patients, its physiopathology and its clinical relevance.
Methods: A search of patients with pneumatosis intestinalis was performed in the database of the Lung Transplant Unit of our hospital. The presence of pneumatosis after transplantation was confirmed in all of them and relevant demographic, clinical and imaging variables were collected to evaluate its association and clinical expression, as well as the therapeutic approach after the findings.
Results: The incidence of pneumatosis intestinalis after lung transplantation in our center was 3.1% (17/546), developing between 9 and 1270 days after transplantation (mean, 198 days; median 68 days). Most of the patients were asymptomatic or with mild symptoms, without any major analytical alterations, and with a cystic and expansive radiological appearance. Pneumoperitoneum was associated in 70% of the patients (12/17). Conservative treatment was chosen in all cases. The mean time to resolution was 389 days.
Conclusion: Pneumatosis intestinalis in lung transplant patients is a rare complication of uncertain origin, which can appear for a very long period of time after transplantation. It has little clinical relevance and can be managed without other diagnostic or therapeutic interventions.
(Copyright © 2023 SERAM. Published by Elsevier España, S.L.U. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: