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

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 rheu...

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Main Authors: Jian Guan, Alvina Munaf, Alric V. Simmonds, Irteza Inayat
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Gastrointestinal Medicine
Online Access:http://dx.doi.org/10.1155/2018/5124145
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author Jian Guan
Alvina Munaf
Alric V. Simmonds
Irteza Inayat
author_facet Jian Guan
Alvina Munaf
Alric V. Simmonds
Irteza Inayat
author_sort Jian Guan
collection DOAJ
description 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. We report a unique case of colonic perforation in a patient with chronic systemic sclerosis. This patient initially presented with mild abdominal pain and hematemesis. Urgent upper endoscopy was unremarkable and radiology showed stable pneumatosis intestinalis. Due to worsening abdominal pain, laparotomy exploration was performed and colonic perforation with transmural ischemic necrosis was found.
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issn 2090-6528
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language English
publishDate 2018-01-01
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record_format Article
series Case Reports in Gastrointestinal Medicine
spelling doaj-art-4e9a02c85e0b4740b199e68827ae89632025-02-03T07:26:01ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362018-01-01201810.1155/2018/51241455124145When the Benign Pneumatosis Intestinalis Becomes No Longer Benign: A Rare Case of Bowel Perforation in a Patient with Systemic SclerosisJian Guan0Alvina Munaf1Alric V. Simmonds2Irteza Inayat3Department of Internal Medicine, Graduate Medical Education, Florida Hospital, 2501 N. Orange Suite 235, Orlando, FL 32804, USADepartment of Internal Medicine, Graduate Medical Education, Florida Hospital, 2501 N. Orange Suite 235, Orlando, FL 32804, USADepartment of General Surgery, Graduate Medical Education, Florida Hospital, 2415 N. Orange Ave., Suite 400, Orlando, FL 32804, USACentral Florida Hepatology & Gastroenterology, Florida Hospital, 2415 N. Orange Ave., Suite 200, Orlando, FL 32804, USASystemic 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. We report a unique case of colonic perforation in a patient with chronic systemic sclerosis. This patient initially presented with mild abdominal pain and hematemesis. Urgent upper endoscopy was unremarkable and radiology showed stable pneumatosis intestinalis. Due to worsening abdominal pain, laparotomy exploration was performed and colonic perforation with transmural ischemic necrosis was found.http://dx.doi.org/10.1155/2018/5124145
spellingShingle Jian Guan
Alvina Munaf
Alric V. Simmonds
Irteza Inayat
When the Benign Pneumatosis Intestinalis Becomes No Longer Benign: A Rare Case of Bowel Perforation in a Patient with Systemic Sclerosis
Case Reports in Gastrointestinal Medicine
title When the Benign Pneumatosis Intestinalis Becomes No Longer Benign: A Rare Case of Bowel Perforation in a Patient with Systemic Sclerosis
title_full When the Benign Pneumatosis Intestinalis Becomes No Longer Benign: A Rare Case of Bowel Perforation in a Patient with Systemic Sclerosis
title_fullStr When the Benign Pneumatosis Intestinalis Becomes No Longer Benign: A Rare Case of Bowel Perforation in a Patient with Systemic Sclerosis
title_full_unstemmed When the Benign Pneumatosis Intestinalis Becomes No Longer Benign: A Rare Case of Bowel Perforation in a Patient with Systemic Sclerosis
title_short When the Benign Pneumatosis Intestinalis Becomes No Longer Benign: A Rare Case of Bowel Perforation in a Patient with Systemic Sclerosis
title_sort when the benign pneumatosis intestinalis becomes no longer benign a rare case of bowel perforation in a patient with systemic sclerosis
url http://dx.doi.org/10.1155/2018/5124145
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