Gray Sanjiv, Katzen Michael, Vudatha Vignesh
Trauma Care, Osceola Regional Medical Center, Kissimmee, FL 34741, USA.
University of Central Florida College of Medicine, Orlando, FL 32827, USA.
J Surg Case Rep. 2018 Apr 30;2018(4):rjy077. doi: 10.1093/jscr/rjy077. eCollection 2018 Apr.
Pneumatosis intestinalis (PI), defined as free gas in the bowel wall, is associated with autoimmune conditions, drugs, pulmonary disease and many other etiologies. Patients with findings of PI may have variable clinical presentations, ranging from asymptomatic to acute abdomen necessitating urgent surgery. Here, we present the case of an individual with recurrent PI whose suspected etiologies ultimately varied from benign to lethal between visits. We discuss the clinical management of each case, perform post-hoc application of a proposed treatment algorithm, and highlight areas for future research.
肠壁积气（PI）定义为肠壁内的游离气体，与自身免疫性疾病、药物、肺部疾病及许多其他病因相关。有PI表现的患者可能有不同的临床表现，从无症状到需要紧急手术的急腹症不等。在此，我们报告一例复发性PI患者，其疑似病因在不同就诊期间最终从良性转变为致命性。我们讨论了每个病例的临床管理，对一种提议的治疗算法进行了事后应用，并强调了未来研究的领域。
