Necrotizing enterocolitis(NEC) is the most significant gastrointestinal emergency in neonates, particularly affecting those who are premature. Neonatal appendicitis highly uncommon term infants and its diagnosis typically incidental. The clinical presentation of newborn nonspecific usually mimics that NEC. Pneumatosis intestinalis a finding extremely specific to NEC; it very surprising observe ...

We describe a case report of an infant with intussusception who presented to a pediatric emergency department with diarrhea and increased irritability. Pneumatosis intestinalis (intra-mural air) detected on point-of-care ultrasonography (but not apparent on plain abdominal radiographs) alerted the emergency physicians towards the severity of disease process.

UNLABELLED AIR-FILLED CYSTS: Pneumatosis cystoides intestinalis (PCI) is a benign air-filled cystic formation lying in submucosal or subserous digestive tissue. PCI has been reported all along the digestive tract. CLINICAL SIGNS Manifestations of PCI vary greatly. Some cases are asymptomatic, while others are revealed by abdominal pain or pneumoperitoneum. Outcome is usually favorable. EXPL...

OBJECTIVE To determine which clinical, laboratory, and radiographic parameters predict positive operative findings in patients with pneumatosis intestinalis on computed tomography (CT). DESIGN Retrospective record review. SETTING Tertiary care hospital and affiliated community hospital. PATIENTS One hundred fifty consecutive patients diagnosed as having pneumatosis intestinalis on CT. M...

The combination of pneumatosis intestinalis (PI) and hepatic portal venous gas (HPVG) is a rare but important radiological sign. HPVG in isolation has been reported in severe cases of inflammatory or infective colitis, and after colonoscopy, barium enema, abdominal trauma and liver transplant and does not always require intervention. Abdominal radiograph or computed tomography (CT) findings of ...

Pneumatosis cystoides intestinalis is a rarely seen disease characterized by cysts filled with multiple gases in the wall of the small or large intestine. Many factors have been suggested in the etiology and pathogenesis, including peptic ulcer, pyloric stenosis, and endoscopic trauma. Because various clinical characteristics and symptoms are observed together, diagnosis is generally difficult....

BACKGROUND Transarterial Chemoembolization (TACE) has been recognized as a successful way of managing symptomatic and/or progressive hepatic carcinoid metastases not amenable to surgical resection. Although it is a fairly safe procedure, it is not without its complications. CASE PRESENTATION This is a case of a 53 year-old woman with a patent foramen ovale (PFO) and mild pulmonary hypertensio...

A 64-year-old Japanese woman with ulcerative colitis visited our hospital for abdominal distention. Laboratory examinations and abdominal ultrasonography demonstrated no abnormal findings. Colonoscopy showed sessile polypoid lesions with no overlying mucosal abnormalities in the ascending colon (Picture 1). These lesions were soft and dented when pressed by biopsy forceps. Plain computed tomogr...

Pneumatosis intestinalis (PI) is an uncommon disorder defined as multiple foci of gas within the intestinal wall. Despite recognition of an increasing number of cases of PI, the optimal management strategy, whether through surgical or other means, remains controversial. The present report describes the case of a patient with PI who underwent exploratory laparotomy without specific findings and ...

We present a case of pneumatosis intestinalis (PI) of the colon in the setting of inflammatory bowel disease that was treated with medical management rather than emergent surgery. While the reflex response to extraluminal air in the abdomen is abdominal exploration, consideration of the clinical context in which PI is discovered and an understanding of a complete differential diagnosis of the s...