Harris GE Siemens
CTisUS Sponsers
Colon

Pneumatosis Intestinitis

  • "We observed the presence of portal venous gas associated with intestinal pneumatosis in 25.5% of cases. In patients having both IP and PVG intestinal infarction was observed in 69.2% of cases."

    Intestinal Pneumatosis in adults: diagnostic and prognostic value
    Lassandro F et al.
    Emerg Radiol (2010) 17:361-365

  • "We have retrospectively evaluated 102 patients correlating the CT finding of gastrointestinal parietal gas with clinical data and outcome. Fifty three patients (52%) had surgical evidence of intestinal infarction."

    Intestinal Pneumatosis in adults: diagnostic and prognostic value
    Lassandro F et al.
    Emerg Radiol (2010) 17:361-365

  • " In our study intestinal pneumatosis has been observed in a broad range of lesions with very different prognosis, the most frequent of which was intestinal infarction. When associated with portal venous gas, there was a much higher prevalence of intestinal infarct, and the prognosis was definitely worse."

    Intestinal Pneumatosis in adults: diagnostic and prognostic value
    Lassandro F et al.
    Emerg Radiol (2010) 17:361-365

  • Pneumatosis Intestinalis: Causes
    - Ischemic bowel
    - Intestinal obstruction
    - Cancer
    - Volvulus
    - Ulcer
    - Hernia
    - Trauma
    - Crohns disease

    - Acute gastric dilatation
    - Organ transplantation
    - s/p ERCP
    - Barium enema
    - s/p Organ transplant
    - AIDS
    - Leukemia
    - Collagen vascular disease 

    - Diverticulitis
    - Iatrogenic causes (i.e. colon biopsy)