Hegener P, Horst E, Hartmann P, Franzen C, Diehl V, Salzberger B, Fätkenheuer G
Department of Internal Medicine I, University of Cologne, Joseph-Stelzmann-Str. 9, D-50924 Köln, Germany.
Eur J Med Res. 1998 May 12;3(5):265-7.
Detection of free abdominal air requires in most cases immediate surgical intervention. However, there may be situations, where invasive procedures are not indicated. We present a case of asymptomatic pneumatosis intestinalis and free abdominal air in a patient with Aids. Pneumatosis intestinalis is a rare entity with accumulation of subserosal or submucosal gas occurring in the small or large bowel. It has been reported in a variety of gastrointestinal disorders, in Aids, after transplantation, with steroid use, and in association with leukemia, lymphoma, vasculitis, collagen vascular disease and chronic obstructive pulmonary disease.
多数情况下，检测到腹腔游离气体需要立即进行手术干预。然而，在某些情况下可能并不需要进行侵入性操作。我们报告一例艾滋病患者出现无症状性肠壁积气和腹腔游离气体的病例。肠壁积气是一种罕见的病症，浆膜下或黏膜下气体在小肠或大肠积聚。它已在多种胃肠道疾病、艾滋病、移植后、使用类固醇时以及与白血病、淋巴瘤、血管炎、胶原血管病和慢性阻塞性肺疾病相关的情况下被报道。
