A 76-year-old woman with systemic sclerosis, who had been treated with antibiotics for lung suppuration for 4 weeks, complained of abdominal pain. Abdominal X-rays showed intestinal distension and hepatic portal gas (Figure 1). Plain abdominal computed tomography (CT) scans revealed the presence of gas in the superior mesenteric vein and portal vein, and pneumatosis intestinalis (Figure 2a and ...

Intestinal pseudoobstruction and pneumatosis cystoides intestinalis are uncommon complications of progressive systemic sclerosis. We report a 26-year-old woman with this disorder who responded poorly to conventional treatment. Subcutaneous administration of octreotide, a long-acting somatostatin analogue, at a dose of 50 micrograms/day for 3 weeks, relieved symptoms such as nausea and bloating....

PNEUMATOSIS intestinalis is a condition characterized by the presence of numerous gas-filled cysts, most commonly found in the sub-serosa of the wall of the small intestine. Nearly 300 cases have been described and the literature of the adult cases has been reviewed by Koss (1952), and those occurring in childhood and infancy by MacKenzie (1951). Although the cysts are frequently associated wit...

OBJECTIVE To review and describe pneumatosis intestinalis (PI) in children who have undergone thoracic organ transplantation and evaluate potential risk factors. METHODS We retrospectively reviewed abdominal radiographs obtained from June 1992 through September 2000 in all pediatric (age <21 years) thoracic organ recipients who survived at least 1 week after transplantation. In this group, a ...

Henoch–Schönlein purpura (HSP) is the most common vasculitis in children. It is a disorder of the inflammatory cascade leading to immunoglobulin A deposition and leukocytoclastic vasculitis of small vessels of skin, kidneys, joints, and gastrointestinal (GI) tract. A wide variety of GI manifestations are seen in ∼50% to 75% of patients with HSP. Diffuse colicky abdominal pain is the most common...

This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. © 2017 The Authors. Journal of General and Family Medicine published by John Wiley & Sons Australia, Ltd on behalf of Japan Primary Care Asso...

We report the case of a 59 year old woman who presented to the emergency room with a four day history of abdominal pain worsening over the last 24 hours. She had previously been diagnosed with Alport’s syndrome and had undergone an unrelated donor renal transplant in August 2001. She was on several immunosuppressants. There was some evidence of peritoneal signs on physical exam. Plain film X-ra...

BACKGROUND The pneumatosis intestinalis is an entity with multiple aetiologies and may be associated with a fatal outcome when present on plain radiographs. When associated with the presence of portomesenteric venous gas (PMVG) it is typically the result of bowel ischaemia. METHODS AND RESULTS We are presenting a case of a 43 year old male who presented with a two days history of haematemesis...

Pneumatosis intestinalis is a rare condition that affects 0.03% of the population. Pneumatosis cystoides intestinalis (PCI) is characterized by the presence of multiple gas-filled cysts in the intestinal wall and the submucosa and/or intestinal subserosa. It is usually a secondary finding caused by a wide variety of underlying gastrointestinal or extragastrointestinal diseases. Here, we present...

A 44-year-old man with a 16-year history of ileal-colonic Crohn's disease (CD) presented with acute onset severe abdominal pain and vomiting. On examination, he was febrile and a distended and generalized tender abdomen was noted with signs of peritoneal irritation. Laboratory tests revealed increased white blood cell count of 12,500/ mm3. The other laboratory values were within normal range. C...