Pneumatosis Intestinalis in Adult Bilateral Lung Transplant Patients: A Single Institution Experience and Literature Review

Autor: Eric Christiansen, Nisha Singh, Amy Trahan, Sofya Tokman, David Row, Olga Kalinkin
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Case Reports in Transplantation, Vol 2020 (2020)
Druh dokumentu: article
ISSN: 2090-6943
2090-6951
DOI: 10.1155/2020/5023948
Popis: Pneumatosis intestinalis (PI) is a radiologic finding which is characterized by the accumulation of gas within the bowel wall. This radiologic finding is traditionally thought of in the sense of intestinal ischemia. An uncommon cause of this finding is post organ transplantation. We did an institutional and literature review of this finding to demonstrate its distinct imaging features and benign nature. It was observed to occur in approximately 5.2% of patients post lung transplant (23/442). On imaging, it displays an expansile/bubbly appearance of gas within the bowel wall that is distinct from the traditional findings seen in intestinal ischemia. Clinical review showed that posttransplant patients with PI can be successfully managed conservatively with early enteral nutrition, oxygen, antibiotics, and limited follow-up imaging. With the increasing use of organ transplantation, PI is being diagnosed with increased frequency. It is important to let clinicians know of this entity and its potential outcomes.
Databáze: Directory of Open Access Journals
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