Koutouzis T, Lee J
Division of Internal Medicine, Department of Emergency Medicine, Northwestern University, Evanston Memorial Hospital, Evanston, IL, USA.
Ann Emerg Med. 2000 Dec;36(6):619-21. doi: 10.1067/mem.2000.111095.
We report a case of pnuematosis intestinalis in a 2-year-old boy after blunt abdominal trauma. In the setting of blunt trauma, the hypothesized mechanism of pneumatosis intestinalis is mechanical disruption of the intestinal mucosa with extravasation of luminal gas within the intestinal wall. Although the presence of intraluminal gas may imply intestinal necrosis and the need for an invasive procedure, this case report suggests that management without surgery can lead to successful outcome in selected cases.
我们报告一例2岁男孩钝性腹部创伤后发生的肠壁积气病例。在钝性创伤的情况下，肠壁积气的推测机制是肠黏膜机械性破坏，导致肠腔内气体渗入肠壁。虽然肠腔内气体的存在可能意味着肠坏死以及需要进行侵入性手术，但本病例报告表明，在某些特定病例中，非手术治疗也可取得成功结果。
