Pneumatosis Intestinalis: A Case Report and Approach to Management
Pneumatosis intestinalis (PI), defined as gas within the bowel wall, is an uncommon radiographic sign which can represent a wide spectrum of diseases and a variety of underlying diagnoses. Because its etiology can vary greatly, management of PI ranges from surgical intervention to outpatient observa...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2011/571387 |
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| _version_ | 1841524610096431104 |
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| author | Sean Donovan Joseph Cernigliaro Nancy Dawson |
| author_facet | Sean Donovan Joseph Cernigliaro Nancy Dawson |
| author_sort | Sean Donovan |
| collection | DOAJ |
| description | Pneumatosis intestinalis (PI), defined as gas within the bowel wall, is an uncommon radiographic sign which can represent a wide spectrum of diseases and a variety of underlying diagnoses. Because its etiology can vary greatly, management of PI ranges from surgical intervention to outpatient observation (see, Greenstein et al. (2007), Morris et al. (2008), and Peter et al. (2003)). Since PI is infrequently encountered, clinicians may be unfamiliar with its diagnosis and management; this unfamiliarity, combined with the potential necessity for urgent intervention, may place the clinician confronted with PI in a precarious medical scenario. We present a case of pneumatosis intestinalis in a patient who posed a particularly challenging diagnostic dilemma for the primary team. Furthermore, we explore the differential diagnosis prior to revealing the intervention offered to our patient; our concise yet inclusive differential and thought process for rapid evaluation may be of benefit to clinicians presented with similar clinical scenarios. |
| format | Article |
| id | doaj-art-388b6d452a3c4be7b7d04ba6bcecdd70 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-388b6d452a3c4be7b7d04ba6bcecdd702025-02-03T05:47:45ZengWileyCase Reports in Medicine1687-96271687-96352011-01-01201110.1155/2011/571387571387Pneumatosis Intestinalis: A Case Report and Approach to ManagementSean Donovan0Joseph Cernigliaro1Nancy Dawson2Department of Medicine, Mayo Clinic, Jacksonville, FL 32224, USADepartment of Radiology, Mayo Clinic, Jacksonville, FL 32224, USADepartment of Medicine, Mayo Clinic, Jacksonville, FL 32224, USAPneumatosis intestinalis (PI), defined as gas within the bowel wall, is an uncommon radiographic sign which can represent a wide spectrum of diseases and a variety of underlying diagnoses. Because its etiology can vary greatly, management of PI ranges from surgical intervention to outpatient observation (see, Greenstein et al. (2007), Morris et al. (2008), and Peter et al. (2003)). Since PI is infrequently encountered, clinicians may be unfamiliar with its diagnosis and management; this unfamiliarity, combined with the potential necessity for urgent intervention, may place the clinician confronted with PI in a precarious medical scenario. We present a case of pneumatosis intestinalis in a patient who posed a particularly challenging diagnostic dilemma for the primary team. Furthermore, we explore the differential diagnosis prior to revealing the intervention offered to our patient; our concise yet inclusive differential and thought process for rapid evaluation may be of benefit to clinicians presented with similar clinical scenarios.http://dx.doi.org/10.1155/2011/571387 |
| spellingShingle | Sean Donovan Joseph Cernigliaro Nancy Dawson Pneumatosis Intestinalis: A Case Report and Approach to Management Case Reports in Medicine |
| title | Pneumatosis Intestinalis: A Case Report and Approach to Management |
| title_full | Pneumatosis Intestinalis: A Case Report and Approach to Management |
| title_fullStr | Pneumatosis Intestinalis: A Case Report and Approach to Management |
| title_full_unstemmed | Pneumatosis Intestinalis: A Case Report and Approach to Management |
| title_short | Pneumatosis Intestinalis: A Case Report and Approach to Management |
| title_sort | pneumatosis intestinalis a case report and approach to management |
| url | http://dx.doi.org/10.1155/2011/571387 |
| work_keys_str_mv | AT seandonovan pneumatosisintestinalisacasereportandapproachtomanagement AT josephcernigliaro pneumatosisintestinalisacasereportandapproachtomanagement AT nancydawson pneumatosisintestinalisacasereportandapproachtomanagement |