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Pneumatosis intestinalis (PI)

Patterson RAP - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Pneumatosis intestinalis (PI)

History: 76 yo male with PMH of metastatic colon CA with chief complaint of abdominal pain.PMH: metastatic colon CA, HTN, MI, Renal insuffiency, emphysema.PSH: Partial colon resection, kidney stone removal, nephrostomy tubes placedSH: nonsmoker, nondrinker

Findings: KUB (image 1)- pneumatosis intestinalis of large bowel; dilated loops of small bowel, no air-fluid levelsNon-contrast CT (image 2)- pneumatosis intestinalis from splenic flexure to the sigmoid colon, no free intraperitoneal air; known ventral hernia containing small portion of transverse colon; no obstruction.

Ddx: Primarily ischemia vs infection. Other consideratins for pneumatosis include intestinal trauma, obstruction, inflammatory bowel disease, COPD

Exam: Abd: soft, nondistendend, mildly tender to palpation in LLQ, no rebound, no guarding

No MeSH data available.


Pneumatosis intestinalis (PI)
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MPX2477_synpic21250: Pneumatosis intestinalis (PI)


Pneumatosis intestinalis (PI)

Patterson RAP - MedPix

Pneumatosis intestinalis (PI)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2477&req=5

MPX2477_synpic21250: Pneumatosis intestinalis (PI)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Pneumatosis intestinalis (PI)

History: 76 yo male with PMH of metastatic colon CA with chief complaint of abdominal pain.PMH: metastatic colon CA, HTN, MI, Renal insuffiency, emphysema.PSH: Partial colon resection, kidney stone removal, nephrostomy tubes placedSH: nonsmoker, nondrinker

Findings: KUB (image 1)- pneumatosis intestinalis of large bowel; dilated loops of small bowel, no air-fluid levelsNon-contrast CT (image 2)- pneumatosis intestinalis from splenic flexure to the sigmoid colon, no free intraperitoneal air; known ventral hernia containing small portion of transverse colon; no obstruction.

Ddx: Primarily ischemia vs infection. Other consideratins for pneumatosis include intestinal trauma, obstruction, inflammatory bowel disease, COPD

Exam: Abd: soft, nondistendend, mildly tender to palpation in LLQ, no rebound, no guarding

No MeSH data available.