Pneumatosis intestinalis with pneumoperitoneum: Not always a surgical emergency

Autor: Van Sy Than, MD, MSc, Minh Duc Nguyen, MD, MSc, Arnaud Gallon, MD, CCA, Minh Thong Pham, MD, PhD, Duy Hung Nguyen, MD, PhD, Louis Boyer, MD, PhD, Thanh Dung Le, MD, PhD
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Radiology Case Reports, Vol 15, Iss 11, Pp 2459-2463 (2020)
Druh dokumentu: article
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: Directory of Open Access Journals