Pneumatosis intestinalis: An important radiological clue in a case of missed perforated appendicitis

Autor: Khairul Najmi Muhammad Nawawi, Azlan Helmy Abd Samat, Nik Farhan Nik Fuad, Lim Li Yi
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Turkish Journal of Emergency Medicine, Vol 20, Iss 2, Pp 86-89 (2020)
Druh dokumentu: article
ISSN: 2452-2473
DOI: 10.4103/2452-2473.278560
Popis: Pneumatosis intestinalis (PI) is a rare radiological finding, characterized by the presence of gas in the bowel wall. It has a wide spectrum of possible underlying diagnosis ranging from benign to life-threatening conditions. We present a case of a previously healthy male who was initially presented with missed diagnosis of acute appendicitis which had led to perforated appendix. Failure to recognize the significance of PI and its correlation with other clinical information had caused the delay in his surgical intervention. Fortunately, the patient made a steady recovery and was discharged well. It is important to have a high clinical suspicion of life-threatening conditions whenever patients presented with a radiological clue of PI. Failure to incorporate this finding with other clinical clues might lead to devastating consequences and delay the necessary treatment.
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