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Pneumatosis intestinalis leading to perioperative hypovolemic shock: Case report.

Takami Y, Koh T, Nishio M, Nakagawa N - World J Emerg Surg (2011)

Bottom Line: Pneumatosis intestinalis (PI) is an uncommon disorder defined as multiple foci of gas within the intestinal wall.Despite recognition of an increasing number of cases of PI, the optimal management strategy, whether through surgical or other means, remains controversial.The present report describes the case of a patient with PI who underwent exploratory laparotomy without specific findings and who ultimately died due to extensive intestinal hemorrhage that was possibly triggered by surgery.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Surgery, Social Insurance Kobe Central Hospital, 2-1-1, Sohyama-cho, Kita-ku, Kobe City 651-1145, Japan. yukakotakami@yahoo.co.jp.

ABSTRACT
Pneumatosis intestinalis (PI) is an uncommon disorder defined as multiple foci of gas within the intestinal wall. Despite recognition of an increasing number of cases of PI, the optimal management strategy, whether through surgical or other means, remains controversial. The present report describes the case of a patient with PI who underwent exploratory laparotomy without specific findings and who ultimately died due to extensive intestinal hemorrhage that was possibly triggered by surgery.

No MeSH data available.


Related in: MedlinePlus

Microscopic histological appearance of the ascending colon. Microscopic histological appearance of the specimen of the ascending colon shows multiple foci of pneumatosis, which are compatible with pneumatosis cystoides intestinalis. This study also shows hemorrhage within the mucosa without any necrotic features.
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Figure 4: Microscopic histological appearance of the ascending colon. Microscopic histological appearance of the specimen of the ascending colon shows multiple foci of pneumatosis, which are compatible with pneumatosis cystoides intestinalis. This study also shows hemorrhage within the mucosa without any necrotic features.

Mentions: We would like to thank Dr. Toshihiko Miyake, who performed the autopsy and provided pathological commentary and photographs for Figures 3 and 4.


Pneumatosis intestinalis leading to perioperative hypovolemic shock: Case report.

Takami Y, Koh T, Nishio M, Nakagawa N - World J Emerg Surg (2011)

Microscopic histological appearance of the ascending colon. Microscopic histological appearance of the specimen of the ascending colon shows multiple foci of pneumatosis, which are compatible with pneumatosis cystoides intestinalis. This study also shows hemorrhage within the mucosa without any necrotic features.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3108289&req=5

Figure 4: Microscopic histological appearance of the ascending colon. Microscopic histological appearance of the specimen of the ascending colon shows multiple foci of pneumatosis, which are compatible with pneumatosis cystoides intestinalis. This study also shows hemorrhage within the mucosa without any necrotic features.
Mentions: We would like to thank Dr. Toshihiko Miyake, who performed the autopsy and provided pathological commentary and photographs for Figures 3 and 4.

Bottom Line: Pneumatosis intestinalis (PI) is an uncommon disorder defined as multiple foci of gas within the intestinal wall.Despite recognition of an increasing number of cases of PI, the optimal management strategy, whether through surgical or other means, remains controversial.The present report describes the case of a patient with PI who underwent exploratory laparotomy without specific findings and who ultimately died due to extensive intestinal hemorrhage that was possibly triggered by surgery.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Surgery, Social Insurance Kobe Central Hospital, 2-1-1, Sohyama-cho, Kita-ku, Kobe City 651-1145, Japan. yukakotakami@yahoo.co.jp.

ABSTRACT
Pneumatosis intestinalis (PI) is an uncommon disorder defined as multiple foci of gas within the intestinal wall. Despite recognition of an increasing number of cases of PI, the optimal management strategy, whether through surgical or other means, remains controversial. The present report describes the case of a patient with PI who underwent exploratory laparotomy without specific findings and who ultimately died due to extensive intestinal hemorrhage that was possibly triggered by surgery.

No MeSH data available.


Related in: MedlinePlus