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PubMedDate not supplied

Pneumatosis intestinalis: a clinical classification.

Review of our experience with pneumatosis intestinalis has allowed identification of three major clinical groups of patients. In each of these groups, the etiology of pneumatosis intestinalis usually can be identified, and it frequently has an ominous prognosis. Treatment should be directed to the underlying condition when possible, and hence must be individualized. Those patients who would be categorized as Group I can simply be kept under observation. Patients in Group II might obtain relief from breathing increased concentrations of oxygen. For patients in Group III vigorous therapeutic measures generally are necessary to ensure survival. The increasing use of mechanically controlled ventilation and positive end-expiratory pressure may be contributing to the incidence of pneumatosis intestinalis. The ileus sometimes observed in these patients may accompany or precede the development of intramural air, a condition identifiable on roentgenographic examination. Awareness of the possible presence of intramural air may help in identifying patients who may not need operation. But even when roentgenographic examination has confirmed the presence of intramural air, abdominal exploration still may be necessary to rule out a diagnosis of perforated viscus. We hope that these concepts and our emphasis upon individualization of treatment may improve the prognosis for patients who have pneumatosis intestinalis.

Adolescent↗
PubMed1985

Pneumatosis intestinalis associated with enteral feeding by catheter jejunostomy.

Pneumatosis intestinalis is an unusual, but potentially serious, postoperative complication. The differential diagnosis includes life-threatening conditions, such as intestinal necrosis, that may require immediate surgical intervention. The authors describe a case of pneumatosis intestinalis occurring postoperatively in a seriously ill patient with advanced ovarian cancer. The cause of pneumatosis intestinalis was attributed to enteral feeding by catheter jejunostomy, and a successful outcome is reported after conservative management. As the use of enteral feeding through catheter jejunostomies will likely increase, this cause of pneumatosis intestinalis must be recognized.

Aged↗
PubMed1991

Pneumatosis intestinalis in two infants with rotavirus gastroenteritis.

Pneumatosis intestinalis is uncommon in children other than in the premature infant with necrotizing enterocolitis (NEC). We recently observed pneumatosis intestinalis in two infants with rotavirus gastroenteritis. Both children prior to the onset of acute vomiting and diarrhea were healthy and thriving with no evidence of any underlying illness. The disease and the pneumatosis intestinalis observed in the infants presented in this paper responded well to supportive and conservative medical management. The association of pneumatosis intestinalis in otherwise healthy children with acute rotavirus gastroenteritis has not been previously described.

Female↗