Sivarajah Vernon, Ramamurthy Nitin Kumar, Rowe Susan, Devalia Kalpana
Department of General Surgery, Homerton University Hospital NHS Foundation Trust, London, UK.
BMJ Case Rep. 2013 Mar 27;2013:bcr2012007474. doi: 10.1136/bcr-2012-007474.
An adult patient who had AIDS was admitted to hospital following a fall in which they sustained a T12 vertebral fracture. The patient incidentally was found to have pneumatosis intestinalis upon a thoracolumbar radiograph taken approximately 2 weeks after their admission to the hospital. At this point in time the patient reported having diarrhoea and a distended abdomen. The patient did not have any other medical history of note. Upon examination the patient appeared comfortable. The patient's abdomen was distended but soft and non-tender. Laboratory investigations revealed a chronic normocytic anaemia and neutropenia. It was likely that the pneumatosis intestinalis was AIDS related. A CT scan confirmed its presence but revealed an atypical distribution. Despite its dramatic appearance, the patient was successfully managed conservatively and remained well during admission.
一名成年艾滋病患者因跌倒导致T12椎体骨折而入院。患者入院约2周后进行胸腰椎X线检查时，偶然发现有肠壁积气。此时患者自述有腹泻和腹部膨隆。患者无其他值得注意的病史。经检查，患者看起来情况尚可。患者腹部膨隆，但柔软且无压痛。实验室检查显示为慢性正细胞性贫血和中性粒细胞减少。肠壁积气很可能与艾滋病有关。CT扫描证实了其存在，但显示出非典型分布。尽管其表现明显，但患者经保守治疗成功康复，住院期间情况良好。
