Pneumatosis intestinalis with pneumoperitoneum: Not always a surgical emergency
| Autor: | Minh Thong Pham, Thanh Dung Le, Duy Hung Nguyen, Minh Duc Nguyen, Louis Boyer, Van Sy Than, A. Gallon |
|---|---|
| Přispěvatelé: | Service d’Imagerie Médicale et Radiologie Interventionnelle [CHU Clermont-Ferrand], CHU Gabriel Montpied [Clermont-Ferrand], CHU Clermont-Ferrand-CHU Clermont-Ferrand, Institut Pascal (IP), SIGMA Clermont (SIGMA Clermont)-Université Clermont Auvergne [2017-2020] (UCA [2017-2020])-Centre National de la Recherche Scientifique (CNRS) |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
lcsh:Medical physics. Medical radiology. Nuclear medicine
medicine.medical_specialty Benign pneumatosis lcsh:R895-920 [SDV]Life Sciences [q-bio] Anastomosis 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Pneumoperitoneum Medicine Radiology Nuclear Medicine and imaging Surgical emergency Pneumatosis intestinalis Aortic dissection business.industry Fecal impaction medicine.disease 3. Good health Surgery Pulmonary embolism medicine.symptom business 030217 neurology & neurosurgery Exploratory surgery |
| Zdroj: | Radiology Case Reports Radiology Case Reports, 2020, 15, pp.2459-2463. ⟨10.1016/j.radcr.2020.09.034⟩ Radiology Case Reports, Vol 15, Iss 11, Pp 2459-2463 (2020) Radiology Case Reports, Elsevier, 2020, 15, pp.2459-2463. ⟨10.1016/j.radcr.2020.09.034⟩ |
| ISSN: | 1930-0433 |
| DOI: | 10.1016/j.radcr.2020.09.034⟩ |
| Popis: | Pneumatosis intestinalis (PI) and pneumoperitoneum are commonly recognized as severe signs of gastrointestinal diseases that require emergency surgery. However, these symptoms can also be caused by benign conditions. We describe 4 cases of benign PI and pneumoperitoneum that were detected in different clinical situations (accidental discovery in bilan of aortic dissection (case #1), bilateral pulmonary embolism (case #2), overflow diarrhea due to fecal impaction (case #3), and in follow-up postbiliary digestive anastomosis surgery (case #4), which were addressed with exploratory surgery (case #1) or conservative treatment (the remaining cases), with favorable outcomes. Because PI and pneumoperitoneum can be associated with both life-threatening causes and benign conditions, treatment decisions should be based on the correspondence between clinical and paraclinical features, rather than imaging alone. |
| Databáze: | OpenAIRE |
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