Pneumatosis Intestinalis Presenting as Small Bowel Obstruction without Bowel Ischemia after Mechanical Ventilation
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Pneumatosis intestinalis (PI) is a rare condition of the presence of gas within the bowel walls. PI is associated with numerous underlying diseases, ranging from life-threatening to innocuous conditions. PI is believed to be secondary to coexisting disorders in approximately 85% of all cases. This paper reviews the case of a patient who was diagnosed 7 years prior with pneumoperitoneum from unknown causes without any symptoms. The patient was admitted to the intensive care unit for the management of aspiration pneumonia and developed extensive PI after mechanical ventilation, presenting as small bowel obstruction with mesenteric torsion. Although the exact mechanism and etiology of PI are unclear, this case provides an update on the imaging features of and the clinical conditions associated with PI, as well as the management of this condition.
Abstract
Pneumatosis intestinalis (PI) is a rare condition of the presence of gas within the bowel walls. PI is associated with numerous underlying diseases, ranging from life-threatening to innocuous conditions. PI is believed to be secondary to coexisting disorders in approximately 85% of all cases. This paper reviews the case of a patient who was diagnosed 7 years prior with pneumoperitoneum from unknown causes without any symptoms. The patient was admitted to the intensive care unit for the management of aspiration pneumonia and developed extensive PI after mechanical ventilation, presenting as small bowel obstruction with mesenteric torsion. Although the exact mechanism and etiology of PI are unclear, this case provides an update on the imaging features of and the clinical conditions associated with PI, as well as the management of this condition.
참고문헌 (11)
- Morris MS, "Management and outcome of pneumatosis intestinalis", Am J Surg, 195, pp.679~682 (2008)
- Koss LG, "Abdominal gas cysts(pneumatosis cystoides intetsinorum hominis) : an analysis with a report of a case and a critical review of the literature", AMA Arch Pathol, 53, pp.523~549 (1952)
- St Peter SD, "The spectrum of pneumatosis intestinalis", Arch Surg, 138, pp.68~75 (2003)
- Heng Y, "Pneumatosis intestinalis : a review", Am J Gastroenterol, 90, pp.1747~1758 (1995)
- Braumann C, "Pneumatosis intestinalis:a pitfall for surgeons?", Scand J Surg, 94, pp.47~50 (2005)
- Jamart J, "Pneumatosis cystoides intestinalis: a statistical study of 919 cases", Acta Hepatogastroenterol (Stuttg), 26, pp.419~422 (1979)
- Greenstein AJ, "Pneumatosis intestinalis in adults : management, surgical indications, and risk factors for mortality", J Gastrointest Surg, 11, pp.1268~1274 (2007)
- 김혜린, "장관기종환자: 영상소견 및 임상양상", 대한영상의학회지, 58(2), pp.149~154 (2008), 대한영상의학회
- Donovan S, "Pneumatosis intestinalis : a case report and approach to management", Case Rep Med, 2011, pp.571387~ (2011)
- Brant WE, "Fundamentals of diagnostic radiology" (2012), Wolters Kluwer Health
- Webb WR, "Fundamentals of body CT" (2014), Elsevier Health Sciences