Servicios Personalizados
Revista
Articulo
Indicadores
Citado por SciELO
Accesos
Links relacionados
Citado por Google
Similares en SciELO
Similares en Google
Compartir
Revista de la Facultad de Medicina
versión impresa ISSN 0120-0011
Resumen
MANRIQUE-MENDOZA, Alexis René; ECHAVARRIA-CADENA, Angie Marcela; PEREZ-BECERRA, Nathalia María y GARAVITO-CASTELLANOS, Mónica Natalia. Pneumatosis Intestinalis: A rare intraoperative finding. rev.fac.med. [online]. 2017, vol.65, n.4, pp.687-691. ISSN 0120-0011. https://doi.org/10.15446/revfacmed.v65n4.59471.
Introduction:
Pneumatosis intestinalis (PI) is a rare entity characterized by the presence of gas in the intestine wall, which is usually diagnosed as an incidental radiological finding.
Clinical case:
This paper reports the case of a 63-year-old patient with a history of chronic epigastralgia, who consulted due to a clinical picture of 1 week of evolution consisting of diffuse abdominal pain associated with abdominal distension, anorexia, emesis and diarrhea. Physical examination revealed a distended, tympanic abdomen, painful on palpation, with decreased bowel sounds and no signs of peritoneal irritation. A simple abdominal radiograph was performed, showing overdistension of intestinal loops, air-fluid levels, absence of distal gas and pneumoperitoneum. The patient was taken to exploratory laparotomy, where severe PI was observed in the final 100cm of the ileum.
Discussion:
PI, especially the cystic variant, is a rare pathology, with only 565 cases described worldwide and 6 in Latin America. This condition may go unnoticed due to its difficult diagnosis. Although diagnosis is considered to be radiological, 40% of the cases are found during surgery, as was the case of this patient. Surgical indication for this case was pneumoperitoneum, the most common complication (51%).
Palabras clave : Pneumatosis cystoides intestinalis; Pneumoperitoneum; Surgery; Radiology (MeSH).