Pneumatosis Intestinalis: Not Always a Surgical Indication

We present a case of pneumatosis intestinalis (PI) of the colon in the setting of inflammatory bowel disease that was treated with medical management rather than emergent surgery. While the reflex response to extraluminal air in the abdomen is abdominal exploration, consideration of the clinical co...

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Main Authors: Haijing Zhang, Stephanie L. Jun, Todd V. Brennan
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2012/719713
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author Haijing Zhang
Stephanie L. Jun
Todd V. Brennan
author_facet Haijing Zhang
Stephanie L. Jun
Todd V. Brennan
author_sort Haijing Zhang
collection DOAJ
description We present a case of pneumatosis intestinalis (PI) of the colon in the setting of inflammatory bowel disease that was treated with medical management rather than emergent surgery. While the reflex response to extraluminal air in the abdomen is abdominal exploration, consideration of the clinical context in which PI is discovered and an understanding of a complete differential diagnosis of the sources of PI is critical to avoiding unnecessary surgery.
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series Case Reports in Surgery
spelling doaj-art-c04069129eef471ea3fefa1cb7cc4f822025-08-20T03:23:23ZengWileyCase Reports in Surgery2090-69002090-69192012-01-01201210.1155/2012/719713719713Pneumatosis Intestinalis: Not Always a Surgical IndicationHaijing Zhang0Stephanie L. Jun1Todd V. Brennan2Department of Surgery, Duke University Medical Center, Durham, NC 27710, USADepartment of Radiology, University of California San Francisco, San Francisco, CA 94122, USADepartment of Surgery, Duke University Medical Center, Durham, NC 27710, USAWe present a case of pneumatosis intestinalis (PI) of the colon in the setting of inflammatory bowel disease that was treated with medical management rather than emergent surgery. While the reflex response to extraluminal air in the abdomen is abdominal exploration, consideration of the clinical context in which PI is discovered and an understanding of a complete differential diagnosis of the sources of PI is critical to avoiding unnecessary surgery.http://dx.doi.org/10.1155/2012/719713
spellingShingle Haijing Zhang
Stephanie L. Jun
Todd V. Brennan
Pneumatosis Intestinalis: Not Always a Surgical Indication
Case Reports in Surgery
title Pneumatosis Intestinalis: Not Always a Surgical Indication
title_full Pneumatosis Intestinalis: Not Always a Surgical Indication
title_fullStr Pneumatosis Intestinalis: Not Always a Surgical Indication
title_full_unstemmed Pneumatosis Intestinalis: Not Always a Surgical Indication
title_short Pneumatosis Intestinalis: Not Always a Surgical Indication
title_sort pneumatosis intestinalis not always a surgical indication
url http://dx.doi.org/10.1155/2012/719713
work_keys_str_mv AT haijingzhang pneumatosisintestinalisnotalwaysasurgicalindication
AT stephanieljun pneumatosisintestinalisnotalwaysasurgicalindication
AT toddvbrennan pneumatosisintestinalisnotalwaysasurgicalindication