Is surgical exploration mandatory in pneumatosis intestinalis with portomesenteric gas? Lesson learned in a neutropenic patient under chemotherapy.

Autor: Pengermä, Pasi, Katunin, Jevgeni, Turunen, Arto, Rouvelas, Ioannis, Palomäki, Ari, Kechagias, Aristotelis
Předmět:
Zdroj: ANZ Journal of Surgery; Mar2022, Vol. 92 Issue 3, p543-545, 3p
Abstrakt: Computed tomography (Figs 1,2) revealed dilatation of the small bowel throughout its length and scattered areas of pneumatosis within the wall of the small intestine, particularly in the left upper abdomen. However, it seems that neutropenia does not induce full-thickness injury with necrosis of the bowel wall.2,4 Therefore, the absence of perforation may warrant medical therapy as the first-line option, especially in a stable patient. Lesson learned in a neutropenic patient under chemotherapy. [Extracted from the article]
Databáze: Complementary Index