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Pneumatosis intestinalis leading to perioperative hypovolemic shock: Case report

By Yukako Takami, Toshimori Koh, Minoru Nishio and Noboru Nakagawa


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

Topics: Case Report
Publisher: BioMed Central
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Provided by: PubMed Central

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  1. (2001). A severe case of pneumatosis cystoides intestinalis with massive accumulation of gas outside the gastrointestinum. Z Gastroenterol
  2. (2009). A: An autopsy case of fulminant sepsis due to pneumatosis cystoides intestinalis. Leg Med (Tokyo) 2009, 11(Suppl 1): S528-530, Epub
  3. (2007). Divino CM: Pneumatosis intestinalis in adults: management, surgical indications, and risk factors for mortality. J Gastrointest Surg
  4. (1982). French SW: Fatal air embolus associated with pneumatosis cystoides intestinalis.
  5. (2007). Fulminant pneumatosis intestinalis in a patient with diabetes mellitus and minimal change nephritic syndrome. Intern Med
  6. (2009). KG: Natural history, clinical pattern, and surgical considerations of pneumatosis intestinalis.
  7. (1957). Pneumatosis cystoides intestinalis; report of the first case complicated by fatal rupture of the colon.
  8. (1978). Pneumatosis cystoides intestinalis. Autopsy study of two fatal cases in adults. Acta Pathol Jpn
  9. (1990). PR: Pneumatosis intestinalis. Surgical management and clinical outcome. Ann Surg
  10. (2004). Vickers SM: Serum lactic acid determines the outcomes of CT diagnosis of pneumatosis of the gastrointestinal tract. Am Surg
  11. (2009). Villanacci V: Dysplasia in perforated intestinal pneumatosis complicating a previous jejuno-ileal bypass: a cautionary note.