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Neumatosis intestinal asociada a neumatosis portal intrahepática por oclusión intestinal: presentación de un caso Pneumatosis intestinalis and intrahepatic portal venous gas associated with small bowel occlusion: case report
Lucas E Granero,Federico Ballario,Sebastián García,Roberto Badra
Revista Argentina de Radiología , 2010,
Abstract: La neumatosis intestinal es una entidad muy infrecuente asociada a varias patologías, como el infarto intestino-mesentérico, la enterocolitis necrotizante y la enfermedad pulmonar obstructiva crónica. Se caracteriza por la presencia de gas en la subserosa o submucosa a través del tracto gastrointestinal. Presentamos el caso de un paciente de sexo masculino de 63 a os de edad que consultó por dolor en abdomen superior, vómitos y fiebre elevada (39o) nueve días después de una gastrectomía total por cáncer. La radiografía directa de abdomen constató distensión intestinal y la tomografía computada (TC) demostró distensión intestinal, edema mesentérico, neumatosis intestinal a través del intestino delgado y neumatosis portal, preferentemente en el lóbulo hepático izquierdo. Se realizó una laparotomía de urgencia que reveló únicamente distensión intestinal por adherencias, sin evidenciar necrosis intestinal. El paciente evolucionó desfavorablemente, falleciendo posteriormente. Reportamos un nuevo caso y revisamos la literatura de la neumatosis intestinal asociada con neumatosis portal. The pneumatosis intestinalis is a very infrequent condition associated with a number of diseases, such as mesenteric infarction, necrotizing enterocolitis, and obstructive pulmonary disease characterized by the presence of subserosal or submucosal gas cyst throughout the gastrointestinal tract. A 63- year- old man complained of upper abdominal pain, vomiting and high fever (39o C) on the nine day after total gastrectomy for cancer. Abdominal X-ray revealed intestinal distension. The abdominal Computed Tomography (CT) showed intestinal dilatation, mesenteric oedema, diffuse pneumatosis throughout the small intestine and gas in the portal venous system predominantly in the left hepatic lobe. It was performed emergency activity that revealed intestinal distension secondary to adhesion without intestinal necrosis. The patient had a downhill course and died thereafter. We report a new case and reviewed the literature of pneumatosis intestinalis associated with hepatic portal venous gas.
Neumatosis quística intestinal asociada a enfermedad celíaca Intestinal cystic pneumatosis associated with a celiac disease  [cached]
Pedro E. Velbes Marquetti,Gloria Astencio Rodríguez,Onix C. Garib Alpízar,Sonia Mendoza Delgado
Revista Cubana de Medicina , 2009,
Abstract: La neumatosis quística intestinal es en la mayoría de los casos un hallazgo radiológico inesperado que indica la presencia de una condición patológica alarmante, su aparición en el curso de una enfermedad celíaca constituye una situación poco frecuente en la práctica médica, existe poca literatura que la documente. En el presente trabajo se reporta el caso de una adulta joven del sexo femenino, que fue hospitalizada en el Servicio de Gastroenterología del Hospital "Hermanos Ameijeiras", con un cuadro de distensión abdominal, dispepsia, vómitos y pérdida de peso, se le realizaron múltiples estudios de imágenes (US, rayos X de tórax.), endoscopios (yeyunoscopia más biopsia de yeyuno), así como marcadores para enfermedad celíaca. Se concluyó como una enfermedad celíaca del adulto asociada a neumatosis quística intestinal, que evoluciona favorablemente después de tratamiento médico específico con antibioticoterapia, oxigenoterapia y dieta para la enfermedad celíaca. Intestinal cystic pneumatosis in most cases is a unexpected radiologic finding suggesting the presence of an alarming pathologic condition, its appearance during the celiac disease course is a infrequent situation in the medical practice, there is a scarce literature supporting it. In present paper the case of a young adult female admitted in Gastroenterology service of "Hermanos Ameijeiras" Clinical Surgical Hospital with a abdominal distention, dyspepsia, vomiting and weight loss underwent to multiple imaging studies (US, thorax X-ray), endoscopy (jejunoscopy plus jejunum biopsy)m as well as celiac disease markers. We conclude that this is a celiac disease in an adult patient associated with intestinal cystic pneumatosis evolving favourably after a specific medical treatment with antibiotic-therapy, oxygen-therapy and diet for the celiac disease.
Neumatosis Intestinal: Caso Clínico-Radiológico Pneumatosis intestinalis: A case report  [cached]
JOSé M ZU?IGA A,FRANCO ORELLANA G,MARCELO CASTRO S,ROLANDO SEPúLVEDA D
Revista Chilena de Cirugía , 2009,
Abstract: Presentamos el caso de una mujer de 89 a os que ingresa por un probable cuadro de suboclusión intestinal. El estudio con TAC de abdomen y pelvis revela extensa neumatosis intestinal (NI) asociada a la presencia de gas en el sistema porta. Se realiza manejo médico de la paciente. Al octavo día se hace un control tomográfico, observándose regresión casi completa de la NI y del gas en sistema porta. La presencia de gas en la pared intestinal es un hallazgo que puede tener múltiples significados, desde lo más benigno hasta situaciones que ponen en riesgo la vida. A continuación revisamos las diferentes causas y teorías que explican la NI, su presentación radiológica e interpretación clínica, en base al presente caso clínico. The case of a women 89 year oíd with an apparent partial intestinal obstruction is presented. The CT sean of abdomen and pelvis shows evident pneumatosis intestinalis (PI) within gas in the portal system. Expectant medical treatment was performed. Eight days later, a second CT sean showed almost complete remission of pneumatosis and gas in the portal system. The presence of gas in the bowel wall is a sign that can be find in benign to life threatening conditions. A review of the pathogenesis, radiological presentation and the different causes of PI are presented, based in the case report.
NEUMATOSIS INTESTINAL Y ALERGIA A LA PROTEINA DE LA LECHE DE VACA PNEUMATOSIS INTESTINALIS AND COW’SMILK PROTEINE ALLERGY  [cached]
Georgette Pose L,María Eugenia Arancibia S,Gloria Soto G,Aníbal Espinoza G
Revista Chilena de Radiología , 2008,
Abstract: La neumatosis intestinal en el recién nacido es un signo que se asocia mayoritariamente a la presencia de enterocolitis necrotizante, una condición grave. Se presenta una serie de casos clínicos que debutaron con sangre en la deposición y neumatosis intestinal de curso benigno, diagnosticándose una colitis alérgica, que fue demostrada en el 87,5% (7/8) de los casos mediante colonoscopía corta y biopsias que demostraron un número de eosinófilos mayor que lo normal; en el 12,5% (1/8) el diagnóstico se basó en clínica, laboratorio, imágenes y respuesta a tratamiento. La supresión de la proteína de la leche de vaca en la dieta de lamadre o el reemplazo de la leche materna por un sustituto libre de esta proteína, llevó a una rápida regresión de la sintomatología. Pneumatosis intestinalis in newly born infants constitutes a clinical manifestation greatly associated with the presence of necrotizing enterocolitis, a highly severe medical condition. This study provides a clinical case series presenting with bloody stools and benign pneumatosis intestinalis. A short colonoscopy proven diagnosis of allergic colitis was made, which was confirmed in the 87,5% (7/8) of the cases, while a number of biopsies showed eosinophiles exceeding the normal ranges. Diagnosis in 12,5% of patients (1/8) was based on clinical records, lab-tests, imaging and treatment responses. The suppression of cow's milk protein in the maternal diet or the replacement of human milk by a substitute free from that protein led to a rapid regression of symptomatology.
Indolent evolution of an episode of acute gastroenteritis complicated with portal pneumatosis Resolución espontánea de neumatosis portal tras un episodio de gastroenteritis aguda  [cached]
A. Mancebo,E. álvarez-Hornia,M. Rodríguez-Peláez,M. Ibá?ez
Revista Espa?ola de Enfermedades Digestivas , 2010,
Abstract: The discovery of gas in the portal system related to indolent clinical settings has increased in recent years due to a growth in the performance of imaging tests. We report the first case of spontaneous resolution of portal pneumatosis due to acute gastroenteritis described in the literature. El hallazgo de gas en el sistema portal en relación a cuadros de evolución indolente ha aumentado en los últimos a os por la mayor realización de pruebas de imagen. Creemos importante destacar que, a pesar de los hallazgos radiológicos, el sentido clínico es lo más importante a la hora de enfocar el diagnóstico. Presentamos el primer caso en la literatura de neumatosis portal secundaria a un cuadro de gastroenteritis aguda, con resolución espontánea.
Pneumatosis cystoides intestinalis Neumatosis quística intestinal  [cached]
P. A. Rivera Vaquerizo,A. Caramuto Martins,M. A. Lorente García,M. Blasco Colmenarejo
Revista Espa?ola de Enfermedades Digestivas , 2006,
Abstract:
Pneumatosis Cystoides Intestinalis  [PDF]
Subhash Bhardwaj, Arun Gupta
JK Science : Journal of Medical Education & Research , 1999,
Abstract: Pneumatosis cystoides intestinalis is a rare condition. Presented here is a case report of apatient who was admitted with acute abdomen and was operated upon. The gross morphologyand histological features of the specimen were consistent with Pneumatosis cystoides intestinalis.
Nonsurgical Gastric Pneumatosis in a Newborn
A. Bar?? AKCAN,Seyhan ER???R OYGUCU,Mustafa MEL?KO?LU,Nihal OYGüR
Marmara Medical Journal , 2011,
Abstract: Pneumatosis intestinalis refers to an accumulation of gas in the bowel wall. It may ocur throughout the gastrointestinal tract but is rarely seen in the stomach. Gastric pneumatosis is primarily a radiological diagnosis. Its origin is not completely understood. In this article, we describe a newborn with nonsurgical gastric pneumatosis associated with necrotizing enterocolitis.
Pneumatosis intestinalis versus pseudo-pneumatosis: review of CT findings and differentiation
Jin Hong Wang,Alessandro Furlan,Diana Kaya,Satoshi Goshima,Mitchell Tublin,Kyongtae T. Bae
Insights into Imaging , 2011, DOI: 10.1007/s13244-010-0055-2
Abstract: Pneumatosis intestinalis is defined as the presence of gas within the wall of the gastrointestinal tract. Originally described on plain abdominal radiographs, it is an imaging sign rather than a specific diagnosis and it is associated with both benign and life-threatening clinical conditions. The most common life-threatening cause of pneumatosis intestinalis is bowel ischaemia. Computed tomography (CT) is usually requested to detect underlying disease. The presence of pneumatosis intestinalis often leads physicians to make a diagnosis of serious disease. However, an erroneous diagnosis of pneumatosis intestinalis may be made (i.e. pseudo-pneumatosis) when intraluminal beads of gas are trapped within or between faeces and adjacent mucosal folds. The purpose of this pictorial essay is to review and describe the CT imaging findings of pneumatosis and pseudo-pneumatosis intestinalis and to discuss key discriminatory imaging features.
Incidental finding of esophageal pneumatosis  [cached]
Haritha Chelimilla,Jasbir S Makker,Anil Dev
World Journal of Gastrointestinal Endoscopy , 2013, DOI: 10.4253/wjge.v5.i2.74
Abstract: Pneumatosis of the gastrointestinal tract is a rare condition characterized by the presence of air filled cavities in the gastrointestinal tract wall. Its occurrence has been described throughout the gastrointestinal tract from the esophagus to the rectum, however it is most commonly reported in the small intestine. Despite multiple case reports in literature, its pathogenesis still remains unclear. Pneumatosis may be idiopathic or associated with a variety of disorders namely peptic ulcer disease, jejunoileal bypass, intestinal obstruction and non-gastrointestinal disorders like asthma, chronic obstructive pulmonary disease, systemic lupus erythematosus, infectious enteritis, etc. We here present a rare case of pneumatosis of the esophagus diagnosed incidentally at an esophagogastroduodenoscopy (EGD). A 78-year-old asymptomatic woman underwent EGD and colonoscopy at our hospital for evaluation of anemia. Few months prior to EGD, she had undergone excision of laryngocele at our hospital. EGD revealed extensive submucosal blebs distributed throughout the esophagus, otherwise unremarkable stomach and duodenum. Colonoscopy showed a tubular adenomatous polyp. Since our patient was asymptomatic she did not require any surgical intervention. Management of pneumatosis depends on the underlying cause.
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