2,494 results match your criteria Pneumatosis Intestinalis Imaging


STROBE-anastomotic leakage after pull-through procedure for Hirschsprung disease.

Medicine (Baltimore) 2018 Nov;97(46):e13140

Department of General Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.

This study was undertaken to explore the causes, diagnosis, and treatment of anastomotic leakage after pull-through (PT) procedure for Hirschsprung disease (HD).A retrospective analysis of patients with anastomotic leakage after a PT procedure in the General Surgery Department of Beijing Children's Hospital from July 2013 to June 2016 was undertaken. The surgical characteristics, diagnosis, and treatment were retrospectively analyzed. Read More

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November 2018
3 Reads

Pneumatosis intestinalis a trap for the unwary: Case series and literature review.

Int J Surg Case Rep 2018 Nov 2;53:214-217. Epub 2018 Nov 2.

Royal Alexandra Hospital, Corsebar Rd, Paisely, PA2 9PN, Scotland, UK. Electronic address:

Introduction: Pneumatosis Intestinalis (PI) can present with a broad range of presentations from chronic and non-specific to acute and life threatening. It is paradoxically one of the few conditions where a pneumoperitoneum found in the diagnostic workup is not necessarily an indication for laparotomy.

Presentation Of Cases: The first case is of a 75 year old gentlemen who attended the emergency department after several weeks of worsening abdominal pain and weight loss. Read More

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November 2018
5 Reads

Extensive colonic pneumatosis in a patient on adjuvant chemotherapy after right colectomy for primary terminal ileum lymphoma: A decision-making process between surgical and non-surgical management.

Int J Surg Case Rep 2018 9;52:84-88. Epub 2018 Oct 9.

Department of General Surgery, General Hospital of Drama, Drama, Greece.

Introduction: Pneumatosis intestinalis is a rare condition that may be idiopathic or a sign of numerous underlying gastrointestinal, pulmonary and systemic diseases.

Presentation Of Case: Herein, the case an otherwise-healthy 82-year-old female patient with vague abdominal pain due to total colonic pneumatosis 20 days after completion of R-CHOP chemotherapy for a stage IIE primary non-Hodgkin's lymphoma of the terminal ileum submitted to right hemicolectomy and ileal resection 6 months previously is presented. As no evidence of intramural bowel gas was present on pre-operative CT, pneumatosis coli considered to be secondary. Read More

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October 2018
6 Reads

Portal pneumatosis after diving accident.

Rev Clin Esp 2018 Oct 9. Epub 2018 Oct 9.

Servicio de Cirugía General y del Aparato Digestivo, Hospital General Universitario Santa Lucía, Cartagena, Murcia, España.

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October 2018

Canine and feline emphysematous gastritis may be differentiated from gastric emphysema based on clinical and imaging characteristics: Five cases.

Vet Radiol Ultrasound 2018 Oct 11. Epub 2018 Oct 11.

The Royal (Dick) School of Veterinary Studies and Roslin Institute, The University of Edinburgh, Roslin, EH25 9RG, UK.

Gastric pneumatosis is an imaging finding defined as the presence of gas foci in the gastric wall. In humans, this imaging feature can result from one of two separate clinical entities: life-threatening emphysematous gastritis or clinically benign gastric emphysema. This retrospective case series study describes the clinical and imaging features in five animals diagnosed with spontaneous gastric pneumatosis without gastric dilatation-volvulus. Read More

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October 2018
1 Read

Benign versus life-threatening causes of pneumatosis intestinalis: differentiating CT features.

Rev Assoc Med Bras (1992) 2018 Jun;64(6):543-548

Department of Radiology, Soonchunhyang University Seoul Hospital, Seoul, South Korea.

Objective: To assess the diagnostic performance of CT findings in differentiating causes of pneumatosis intestinalis (PI), including benign and life-threatening causes.

Methods: All CT reports containing the word "pneumatosis" were queried from June 1st, 2006 to May 31st, 2015. A total of 42 patients with PI were enrolled (mean age, 63. Read More

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Emphysematous gastritis in a cat.

J Vet Emerg Crit Care (San Antonio) 2018 Nov 9;28(6):596-602. Epub 2018 Oct 9.

Department of Clinical Sciences, College of Veterinary Medicine, Auburn University, Auburn, AL 36849.

Objective: To describe the presentation, diagnosis, treatment, and outcome of a case of emphysematous gastritis (EG) in a cat.

Case Series Summary: A 15-year-old female neutered domestic short-hair cat presented for a 4-month history of weight loss and intermittent vomiting. Clinicopathologic and imaging findings suggested an underlying primary gastrointestinal (GI) disease, as well as possible hepatobiliary disease. Read More

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November 2018
2 Reads

[Case report: intestinal pneumatosis]

Rev Fac Cien Med Univ Nac Cordoba 2018 09 22;75(3):205-211. Epub 2018 Sep 22.

Hospital Nacional de Clínicas - FCM - UNC.

Objective: To present a recent to increase understanding, diagnosis and treatment of intestinal pneumatosis clinical case, considering the distinctive characteristics of the disease and to expand knowledge about the management of this condition.

Methods: The case of a female patient aged 65, originally from Bolivia, with a history of osteoarthritis, osteoporosis, asthma and allergies repetition occurs. The patient was admitted to the Department of Surgery No. Read More

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September 2018
2 Reads

Pneumatosis cystoides intestinalis (PCI) in a patient with undiagnosed systemic sclerosis.

BMJ Case Rep 2018 Sep 28;2018. Epub 2018 Sep 28.

Department of Gastroenterology, Austin Hospital, Heidelberg, Victoria, Australia.

Pneumatosis cystoides intestinalis (PCI) refers to the presence of gas within the wall of the small or large intestine. The pathophysiology is incompletely understood and is probably multifactorial in nature. PCI is a known but rare complication of systemic scleroderma, and the aetiology of PCI in patients with scleroderma is not fully understood. Read More

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September 2018
10 Reads

Pneumatosis cystoides intestinalis: Not uncommon cause of free air in acute abdomen.

Authors:
S-M Tseng C Li C-M Ho

J Visc Surg 2018 Sep 21. Epub 2018 Sep 21.

Departments of Surgery, National Taiwan University Hospital, No.7 Chung-Shan South Road, Taipei 100, Taiwan. Electronic address:

Pneumatosis cystoides intestinalis is generally benign in course and sometimes, if cysts ruptured, behave as the not uncommon cause of free air in acute abdomen. In our case, we illustrate ruptured isolated cysts of pneumatosis cystoides intestinalis are responsible for pneumoperitoneum in a 94-year-old male patient. Laparotomy with gastrotomy for decompression of intraluminal aeropressure was performed, with an uneventful recovery. Read More

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September 2018
5 Reads

When the Benign Pneumatosis Intestinalis Becomes No Longer Benign: A Rare Case of Bowel Perforation in a Patient with Systemic Sclerosis.

Case Rep Gastrointest Med 2018 26;2018:5124145. Epub 2018 Aug 26.

Central Florida Hepatology & Gastroenterology, Florida Hospital, 2415 N. Orange Ave., Suite 200, Orlando, FL 32804, USA.

Systemic sclerosis is a multisystem disease featured with autoimmunity and organ fibrosis. Although gastrointestinal (GI) tract involvement is common in patients with systemic sclerosis, colonic perforation is extremely rare. Benign pneumatosis intestinalis, a phenomenon more frequently seen in rheumatologic conditions, makes the diagnosis of colonic perforation even more challenging. Read More

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August 2018
2 Reads

Pneumomediastinum, Pneumopericardium, and Epidural Pneumatosis following Adenotonsillectomy: A Very Rare Complication.

Case Rep Otolaryngol 2018 19;2018:4531364. Epub 2018 Aug 19.

Otorhinolaryngology Department, Adana City Research and Training Hospital, University of Health Sciences, Adana, Turkey.

Adenotonsillectomy is a common surgical otolaryngology procedure that is associated with several complications, including hemorrhage, odynophagia, damage to teeth, taste disorders, atlantoaxial subluxation, lingual edema, infection, and injury of the carotid artery. Pneumomediastinum, pneumopericardium, and epidural pneumatosis are an extremely unusual condition in children with adenotonsillectomy. Treatment should be conservative in the majority of cases and based on benign self-limiting course of these diseases; early recognition can prevent further complications. Read More

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August 2018
7 Reads

Obstructive Ileocolitis in Patients With Obstructed Colorectal Cancer - A Matched Case Control Study.

Ann Coloproctol 2018 Aug 31;34(4):175-179. Epub 2018 Aug 31.

Division of Colorectal Surgery, University Surgical Cluster, National University Health System, Singapore.

Purpose: Obstructive ileocolitis is an ulcero-inflammatory condition which typically occurs in the ileum or colon proximal to an obstructing colorectal lesion. If left unresolved, it often leads to intestinal perforation. We present a matched case control study of patients with obstructive ileocolitis caused by colorectal cancer to determine if any factors can predict this condition. Read More

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August 2018
1 Read

Pneumatosis Cystoides Intestinalis Secondary to Sunitinib Treatment for Gastrointestinal Stromal Tumor.

Case Rep Gastroenterol 2018 May-Aug;12(2):432-438. Epub 2018 Aug 21.

Department of Gastroenterological Surgery, Nikko Memorial Hospital, Muroran, Japan.

A 67-year-old man with liver and retroperitoneal metastases from a gastrointestinal stromal tumor arising in the jejunum had been administered oral sunitinib for 2 months. He presented to our department with right-sided lower abdominal pain. His general condition was good, with no high-grade fever, and the other vital signs were also stable. Read More

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August 2018
6 Reads

Survival from a 75% TBSA thermal injury complicated by bowel ischemia presenting with pneumatosis intestinalis.

J Surg Case Rep 2018 Aug 30;2018(8):rjy235. Epub 2018 Aug 30.

The Burn Center, Department of Surgery, MedStar Washington Hospital Center, Washington, DC, USA.

Thermal injury is associated with an increased risk of abdominal complications such as ischemia, infarction and pneumatosis intestinalis (PI). PI is characterized by gas in the intestinal wall and, when diagnosed it can signify the presence of a life-threatening condition. We present a case of a patient who survived 75% total body surface area burns complicated by ischemic bowel that initially presented as extensive PI. Read More

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August 2018
2 Reads

Senile Lemierre syndrome complicated with descending necrotizing mediastinitis: A case report.

Medicine (Baltimore) 2018 Aug;97(35):e11903

Department of Stomatology, the First People's Hospital of Changzhou, the Third Affiliated Hospital of Soochow University, Changzhou, Jiangsu, China.

Rationale: Senile patients with LS complicated with DNM are rarely seen in clinical practice, and extensive cervical incision and drainage plus administration of effective antibiotics are the basis for treatment. Currently, the treatment controversy mainly has focused on whether mediastinal incision and drainage is necessary for patients with type I DNM, and whether anticoagulation therapy is required for jugular venous emboli and distant metastatic emboli induced by LS.

Patient Concerns: A female, 76 years old, developed pain of tonsil on right side 5 days ago, and felt that the pain aggravated complicated with dysphagia and swelling pain of neck on both sides since then. Read More

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August 2018
7 Reads

Cardiac allograft vasculopathy following fecal microbiota transplantation for recurrent C. difficile infection.

Transpl Infect Dis 2018 Dec 19;20(6):e12983. Epub 2018 Sep 19.

Department of Pediatrics, Primary Children's Hospital, University of Utah, Salt Lake City, Utah.

We report the case of a 3-year-old male who developed recurrent Clostridium difficile infection after receiving an orthotopic heart transplant. Despite multiple courses of antibiotics, C. difficile infection was persistent and he underwent a fecal microbiota transplant. Read More

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December 2018
4 Reads

Pneumatosis Coli Formation via Counterperfusion Supersaturation in a Patient with Severe Diarrhea.

Case Rep Gastrointest Med 2018 5;2018:6931747. Epub 2018 Aug 5.

Rhode Island Hospital and Brown University, USA.

We present the case of an elderly male patient with known multiple myeloma who was hospitalized with profuse watery diarrhea and abdominal pain after a course of induction chemotherapy. Intestinal intramural gas was found on imaging and the diagnosis of pneumatosis intestinalis was confirmed by colonoscopy. We propose counterperfusion supersaturation as the etiology for this patient's pneumatosis coli via disruption of homeostasis between nitrogen and hydrogen normally present in the bowel. Read More

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August 2018
3 Reads

Port site hernias following robotic colorectal surgery in people with obesity.

BMJ Case Rep 2018 Aug 23;2018. Epub 2018 Aug 23.

Division of General Surgery, Department of Surgery, NYU Langone Medical Center, Brooklyn, New York, USA.

Port site hernias are a rare complication following robotic surgery that can result in disastrous outcomes. We describe incarcerated port site hernias in two patients with obesity. Both patients required laparoscopic reduction. Read More

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August 2018
7 Reads

Pneumatosis coli after partial ligation of congenital portosystemic shunt in a dog.

J Vet Med Sci 2018 Nov 17;80(10):1549-1552. Epub 2018 Aug 17.

Department of Veterinary Internal Medicine, Graduate School of Agricultural and Life Sciences, The University of Tokyo, 1-1-1 Yayoi, Bunkyo-ku, Tokyo 113-8657, Japan.

Pneumatosis coli is a rare intestinal disorder in dogs that is characterized by submucosal or subserosal emphysema of the colon. An 8-year-old castrated male Shih Tzu developed anorexia and hematochezia after undergoing surgery for a congenital splenophrenic shunt. Abdominal radiographic examination revealed linear radiolucency throughout the wall of the large intestine. Read More

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November 2018
1 Read

Acute mesenteric ischaemia: a pictorial review.

Insights Imaging 2018 Oct 17;9(5):673-682. Epub 2018 Aug 17.

Department of Radiology, Centro Hospitalar Vila Nova de Gaia/Espinho, Rua Conceição Fernandes, 4434-502, Vila Nova de Gaia, Portugal.

Acute mesenteric ischaemia (AMI) is an uncommon cause of acute hospital admission with high mortality rates (50-90%) that requires early diagnosis and treatment. With the increase in average life expectancy, AMI represents one of the most threatening abdominal conditions in elderly patients. Untreated, AMI will cause mesenteric infarction, intestinal necrosis, an overwhelming inflammatory response and death. Read More

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October 2018

Gefitinib successfully administered in a lung cancer patient with leptomeningeal carcinomatosis after erlotinib-induced pneumatosis intestinalis.

BMC Cancer 2018 Aug 16;18(1):825. Epub 2018 Aug 16.

Department of Respiratory Medicine, Respiratory Center, Toranomon Hospital, 2-2-2 Toranomon, Minato-ku, Tokyo, 105-8470, Japan.

Background: Pneumatosis intestinalis (PI) is a rare complication of chemotherapy, characterized by multiple gas accumulations within the bowel wall.

Case Presentation: A 71-year-old woman with epidermal growth factor receptor (EGFR) mutation-positive lung adenocarcinoma was admitted to our hospital because of reduced consciousness. She was diagnosed as having leptomeningeal carcinomatosis (LM) using lumbar puncture. Read More

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August 2018
9 Reads

Feline gastric pneumatosis.

JFMS Open Rep 2018 Jul-Dec;4(2):2055116918782779. Epub 2018 Jul 3.

London Veterinary Specialists, London, UK.

Case Summary: A 9-year-old male neutered domestic shorthair cat was presented with a 2 day history of anorexia and vomiting. A minimum database, including a complete blood count, serum biochemistry profile and urinalysis were unremarkable apart from a toxic neutrophilic left shift and borderline proteinuria. Abdominal ultrasound revealed intramural gas entrapment with thinning of the gastric wall, a hypoechoic pancreas, peritoneal fluid and a small volume of peritoneal gas along with a hyperechoic mesentery. Read More

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[Neumatosis quística intestinal: reporte de un caso].

Cir Cir 2018 ;86(4):370-373

Servicio de Cirugía General y del Aparato Digestivo, Hospital Obispo Polanco, Teruel, España.

Antecedentes: La neumatosis quística intestinal es una condición infrecuente, caracterizada por la formación de quistes de contenido gaseoso debajo de la mucosa y la serosa intestinales.

Caso Clínico: Mujer de 84 años, con antecedente de artritis reumatoide en tratamiento inmunosupresor, intervenida hace 2 años por neumoperitoneo, con diagnóstico de diverticulosis yeyunal y enfisema mesentérico, acude con cuadro de dolor abdominal difuso de 2 días de evolución, sin otra sintomatología. En la radiografía de abdomen se observa neumoperitoneo con elevación del hemidiafragma derecho y distensión de asas del intestino delgado. Read More

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January 2018
2 Reads

Detection of Intestinal Pneumatosis Location by Following Hyperechoic Foci in the Portal Vein Along Its Branches With Real-time Ultrasound.

J Ultrasound Med 2018 Jul 26. Epub 2018 Jul 26.

Department of Radiology, Saitama Children's Medical Center, Saitama, Japan.

Portal venous gas is occasionally encountered in children with intestinal pneumatosis, identified on real-time ultrasound imaging as hyperechoic foci with quick movement. The origin of the portal venous gas can be identified by following the hyperechoic foci along the branches of the portal vein, providing an estimate of the location of intestinal pneumatosis. This approach may be useful for predicting the patient's prognosis. Read More

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Enteral administration of bacteria fermented formula in newborn piglets: A high fidelity model for necrotizing enterocolitis (NEC).

PLoS One 2018 23;13(7):e0201172. Epub 2018 Jul 23.

Albany Medical Center, Department of Pediatrics, Albany, New York, United States of America.

Objective: To develop an animal model which replicates neonatal NEC and characterizes the importance of bacterial fermentation of formula and short chain fatty acids (SCFAs) in its pathogenesis.

Background: NEC is a severe form of intestinal inflammation in preterm neonates and current models do not reproduce the human condition.

Methods: Three groups of newborn piglets: Formula alone (FO), Bacteria alone (E. Read More

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July 2018
6 Reads

Pneumatosis intestinalis in an adult patient with antral stenosis and midgut malrotation.

BMJ Case Rep 2018 Jul 19;2018. Epub 2018 Jul 19.

Department of Emergency Medicine, Emergency Medicine Research Center (Al-Zahra Research Institute), Isfahan University of Medical Sciences, Isfahan, Iran.

Pneumatosisintestinalis (PI) is a radiological finding with about 0.03% incidence and incompletely understood pathogenesis. We report a case of PI with a rare presentation of pneumoperitoneum that underwent diagnostic surgery and finally diagnosed by midgut malrotation and antral stenosis. Read More

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July 2018
8 Reads

Combination therapy for systemic sclerosis-associated pneumatosis intestinalis.

BMJ Case Rep 2018 Jul 11;2018. Epub 2018 Jul 11.

Department of Gastroenterology, Imperial College Healthcare NHS Trust, London, UK.

We present a case of a patient with pneumatosis intestinalis and pneumoperitoneum secondary to gastrointestinal systemic sclerosis, who presented following recurrent accident and emergency attendances with abdominal pain. Pneumatosis intestinalis is a rare complication of systemic sclerosis; management approaches focus largely on exclusion of life-threatening surgical pathologies and subsequent symptom control. To date, there are still no established gold-standard treatment strategy and no large-scale trial data to support a specific management strategy. Read More

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July 2018
1 Read

Radiological findings associated with the death of newborns with necrotizing enterocolitis.

Radiol Bras 2018 May-Jun;51(3):166-171

PhD, Professor in the Department of Radiology at the Faculdade de Ciências Médicas da Universidade Estadual de Campinas (FCM-Unicamp), Campinas, SP, Brazil.

Objective: The aim of this study was to identify radiological and clinical risk factors for death in newborns with necrotizing enterocolitis.

Materials And Methods: This was a retrospective cohort study, based on radiological examinations and medical charts of 66 infants with necrotizing enterocolitis, as confirmed by a finding of intestinal pneumatosis (stage IIA, according to modified Bell's staging criteria). Radiological and clinical variables were evaluated. Read More

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July 2018
1 Read

A case of recurrent pneumatosis intestinalis.

J Surg Case Rep 2018 Apr 30;2018(4):rjy077. Epub 2018 Apr 30.

University of Central Florida College of Medicine, Orlando, FL 32827, USA.

Pneumatosis intestinalis (PI), defined as free gas in the bowel wall, is associated with autoimmune conditions, drugs, pulmonary disease and many other etiologies. Patients with findings of PI may have variable clinical presentations, ranging from asymptomatic to acute abdomen necessitating urgent surgery. Here, we present the case of an individual with recurrent PI whose suspected etiologies ultimately varied from benign to lethal between visits. Read More

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A pneumatosis intestinalis case diagnosed with water-immersion technique.

Endoscopy 2018 Sep 3;50(9):E267-E268. Epub 2018 Jul 3.

Division of Gastroenterology, Department of Internal Medicine, Dokuz Eylul Faculty of Medicine, Dokuz Eylul University Hospital, Izmir, Turkey.

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September 2018

Deconstructing dogma: Nonoperative management of small bowel obstruction in the virgin abdomen.

J Trauma Acute Care Surg 2018 Jul;85(1):33-36

From the Division of Trauma, Critical Care and Emergency Surgery (M.L.C., T.M.D., M.C.-F., B.M.), John Peter Smith Health Network, Fort Worth, Texas; Division of Trauma (N.N.H., M.D.Z., M.D.R.-Z.), Critical Care and General Surgery, Mayo Clinic, Rochester, Minnesota; and Division of Trauma and Surgical Critical Care Services (D.D.Y.), University of Miami Miller School of Medicine, Miami, Florida.

Background: Management of small bowel obstruction (SBO) has become more conservative, especially in those patients with previous abdominal surgery (PAS). However, surgical dogma continues to recommend operative exploration for SBO with no PAS. With the increased use of computed tomography imaging resulting in more SBO diagnoses, it is important to reevaluate the role of mandatory operative exploration. Read More

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July 2018
2 Reads
1.970 Impact Factor

Cetuximab-Associated Pneumatosis Intestinalis.

Am J Ther 2018 Jun 21. Epub 2018 Jun 21.

Hematology/Oncology, SUNY Upstate University, Syracuse, NY.

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June 2018
1 Read
1.130 Impact Factor

Early onset necrotising enterocolitis in association with congenital diaphragmatic hernia in a term baby.

BMJ Case Rep 2018 Jun 28;2018. Epub 2018 Jun 28.

Department of Critical Care Medicine, Women's and Children's Hospital Adelaide, North Adelaide, South Australia, Australia.

We report a case of a male, term newborn with known left congenital diaphragmatic hernia (CDH) who presented with circulatory compromise requiring maximal inotropic support in the first 24 hours of life. Repeat X-ray at 24 hours showed pneumatosis intestinalis. Emergency laparotomy was performed for suspected necrotising enterocolitis. Read More

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June 2018
2 Reads

Pneumatosis cystoides intestinalis: six case reports and a review of the literature.

BMC Gastroenterol 2018 Jun 28;18(1):100. Epub 2018 Jun 28.

Department of Gastroenterology and Hepatology, The General Hospital of Tianjin Medical University, Tianjin, China.

Background: Pneumatosis cystoides intestinalis (PCI) is characterized by gas-filled cysts in the intestinal submucosa and subserosa. There are few reports of PCI occurring in duodenum and rectum. Here we demonstrated four different endoscopic manifestations of PCI and three cases with intestinal stricture all were successfully managed by medical conservative treatment. Read More

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June 2018
10 Reads

[An infant with intestinal pneumatosis and pneumoperitoneum: the difficult decision not to intervene].

An Sist Sanit Navar 2018 Aug 29;41(2):245-248. Epub 2018 Aug 29.

Complejo Hospitalario de Navarra. Cirugía Pediátrica.

Pneumoperitoneum in children may be due to causes that do not require urgent surgery (cardiopulmonary resuscitation manoeuvres, severe respiratory pathology or mechanical ventilation). Surgery in these cases could even worsen the prognosis. We present the case of a male infant, ex-preterm, with a history of necrotizing enterocolitis and ileal perforation at birth, requiring laparotomy and intestinal resection on two occasions and developing a secondary microcolon, due to disuse. Read More

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August 2018
8 Reads

Digital gangrene and pneumatosis intestinalis associated with calciphylaxis.

J Vasc Surg Cases Innov Tech 2018 Jun 27;4(2):133-135. Epub 2018 Apr 27.

Division of Vascular Surgery, Henry Ford Hospital, Detroit, Mich.

Reports of calciphylaxis or calcific uremic arteriolopathy associated with acral and gastrointestinal involvement are rare. We describe a 36-year-old white woman with end-stage renal disease on hemodialysis after failed kidney and pancreas transplantation who developed dry gangrene of bilateral digits, osteomyelitis, and small bowel ischemia within several months of each presentation. She had multiple débridements of a septic right ankle. Read More

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June 2018
2 Reads

Topiramate for Seizures in Preterm Infants and the Development of Necrotizing Enterocolitis.

Pediatrics 2018 Jul 14;142(1). Epub 2018 Jun 14.

Divisions of Neonatology and.

Neonatal seizures represent a significant health burden on the term and preterm neonatal population and are linked to poor long-term neurodevelopmental outcomes. Currently, there are no US Food and Drug Administration-approved antiepileptic drugs for neonates, and authors of the medical literature have yet to reach a consensus on the most adequate approach to neonatal seizures. Topiramate is readily used in the adult and older pediatric population for the management of migraines and partial-onset seizures. Read More

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July 2018
1 Read

Cystic intestinal pneumatosis of the small gut: Etiopathogenesis and review of literature.

Ann Ital Chir 2018 Mar 19;7. Epub 2018 Mar 19.

Cystic intestinal pneumatosis (CIP) is the presence of gas bubbles inside the wall of the intestine. In literature it has been reported to be associated with a variety of clinical conditions such as: superior mesenteric ischemia, intestinal perforation, bowel necrosis, infections which can cause mucosal alterations and therefore increasing its permeability, necrotizing enterocolitis in babies, trauma, intestinal obstruction, autoimmune and pulmonary pathologies. Its presence is usually documented by radiological techniques such as abdominal X-ray, CT scan and endoscopy and are usually characterized by the typical pattern of gas bubbles in the wall of the intestine. Read More

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March 2018
12 Reads

A pneumoperitoneum due to intestinal cystic pneumatosis associated with a tyrosine kinase inhibitor.

Rev Esp Enferm Dig 2018 Aug;110(8):531-532

Medicina Interna, Hospital Virgen de Altagracia de Manzanares.

Pneumatosis cystoides intestinalis is characterized by multiple air-filled cysts in the intestine wall. A perforation causes pneumoperitoneum, frequently with minimal clinical affectation and do not require surgery at first in most cases. Recently, some cancer treatments, mainly molecular targeted therapy, have been associated with this complication. Read More

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Rapid reversal of colonic pneumatosis with restoration of mesenteric arterial supply.

Clin J Gastroenterol 2018 Jun 7. Epub 2018 Jun 7.

Banner Transplant and Advanced Liver Disease Center, Phoenix, AZ, USA.

Pneumatosis cystoides intestinalis (PCI) is characterized by gas-filled cystic lesions within the wall of the large intestine and presents along a spectrum of clinical severity ranging from benign to life threatening. Etiopathogenesis is multifactorial and postulated to result from either mechanical or bacterial causes. In this report, we present a patient with chronic abdominal pain evaluated with colonoscopy revealing segmental PCI isolated to the distal colon. Read More

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June 2018
3 Reads

Pneumatosis intestinalis in Crohn's disease.

Gastroenterol Hepatol 2018 Jun 4. Epub 2018 Jun 4.

Servicio de Gastroenterología y Hepatología, Hospital Universitario Ramón y Cajal, Madrid, España. Electronic address:

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June 2018
1 Read

Pneumorrhachis after Recreational Drug Use.

J Radiol Case Rep 2018 Apr 30;12(4):1-5. Epub 2018 Apr 30.

Department of Emergency Medicine, Aberdeen Royal Infirmary, Aberdeen, UK.

Pneumorrhachis, the presence of air in the spinal canal, is an unusual and alarming radiographic finding. The etiology is most commonly traumatic or iatrogenic but it can occur as a spontaneous phenomenon in association with pneumomediastinum. We report the case of a 16 year old male who presented with throat discomfort and a feeling of altered voice after recreational drug use. Read More

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Bowel obstruction complicated by ischemia: analysis of CT findings.

Abdom Radiol (NY) 2018 Dec;43(12):3227-3232

Department of Radiology, Stanford University Medical Center, 300 Pasteur Dr, Room H1307, Stanford, CA, 94305, USA.

Purpose: To analyze CT signs of bowel ischemia in patients with surgical bowel obstruction, and thereby improve CT diagnosis in this common clinical scenario. Surgical and histopathological findings were used as the reference standard.

Methods: We retrospectively analyzed CT findings in patients brought to surgery for bowel obstruction over 13 years. Read More

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December 2018

Neutropenic Enterocolitis in a Pediatric Heart Transplant Recipient on Multiple Immunosuppressants.

Case Rep Transplant 2018 8;2018:3264921. Epub 2018 May 8.

UCLA Mattel Children's Hospital, Pediatric Heart Transplant Program, 200 UCLA Medical Plaza Suite 330, Los Angeles, CA 90024, USA.

Neutropenic enterocolitis (NE) historically primarily affects pediatric patients with leukemia who are undergoing chemotherapy or who have recently received bone marrow transplants. Although a few case reports have shown NE occurring outside of this typical population, to our knowledge, this is the first published case of NE occurring in the setting of pediatric heart transplant. This patient was diagnosed several months after pediatric heart transplant, with radiographs showing evidence of pneumatosis intestinalis. Read More

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May 2018
7 Reads

Pneumatosis of the intestines, colon and liver in a young cat.

Vet Med Sci 2018 05 28;4(2):150-158. Epub 2018 Feb 28.

The University of Minnesota, Veterinary Medical Center Emergency Service, Saint Paul, Minnesota.

To describe a case of naturally occurring pneumatosis intestinalis, pneumatosis coli and emphysematous hepatitis in a cat. A 9-month-old, indoors-only, female spayed, domestic medium hair cat presented for vomiting, open-mouth breathing and acute collapse. The initial physical examination identified moderate to severe hypothermia [35°C (95°F)], obtunded mentation, weak femoral pulses, tachycardia (heart rate 240 beats per min), pale pink mucous membranes and significant splenomegaly on abdominal palpation. Read More

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[ study of a novel micro-arc oxidation coated magnesium-zinc-calcium alloy scaffold/autologous bone particles repairing critical size bone defect in rabbit].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Mar;32(3):298-305

Department of Orthopedics, Second Affiliated Hospital of Harbin Medical University, Harbin Heilongjiang, 150086, P.R.China.

Objective: To evaluate the effect of a novel micro-arc oxidation (MAO) coated magnesium-zinc-calcium (Mg-Zn-Ca) alloy scaffold/autologous bone particles to repair critical size bone defect (CSD) in rabbit and explore the novel scaffold corrosion resistance and biocompatibility.

Methods: Seventy-two New Zealand white rabbits were randomly divided into 3 groups ( =24), group A was uncoated Mg-Zn-Ca alloy scaffold group, group B was 10 μm MAO coated Mg-Zn-Ca alloy scaffold group, and group C was control group with only autologous bone graft. The animals were operated to obtain bilateral ulnar CSD (15 mm in length) models. Read More

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March 2018
3 Reads

Food Protein-Induced Enterocolitis Instead of Necrotizing Enterocolitis? A Neonatal Intensive Care Unit Case Series.

J Pediatr 2018 Sep 24;200:270-273. Epub 2018 May 24.

Department of Pediatrics, Neonatology, University of Florida, Gainesville, FL. Electronic address:

Necrotizing enterocolitis is an important disease in infants born premature. However, other disease entities present with similar signs and symptoms. This series reviews 5 atypical cases initially diagnosed as necrotizing enterocolitis that may be more consistent with food protein-induced enterocolitis. Read More

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September 2018
1 Read

Radiography and ultrasonography of pneumatosis intestinalis in a cat.

Vet Radiol Ultrasound 2018 May 24. Epub 2018 May 24.

Antech Diagnostics, Framingham, MA, 01702.

An adult cat was presented for acute history of vomiting and collapse. Radiographs showed the presence of air within small intestinal walls and arborizing gas patterns within the liver, compatible with pneumatosis intestinalis and presumed portal venous gas, respectively. An abdominal ultrasound the following day was suggestive of gas within the intestinal wall, however, gas within the hepatic vasculature, parenchyma, or biliary tree was not evident. Read More

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