Articles

Pneumatosis Intestinalis: Autopsy Finding

Abstract

This is a case of a patient with bowel obstruction , imaging studies were suggestive for pneumatosis intestinalis. Clinically diagnosed as adhesion band and pnematosis intestinalis. She underwent laparatomy, enterolysis, obstructionolysis and enterorrhaphy. The patient developed respiratory distress and expired after 2 days. At autopsy we found gray-brown discoloration in the wall of some part of small bowel and flattening of mucus membrane. Grossly multiple gas-filled cysts were seen at the serosal surface. Microscopic evaluation of small intestine wall showed multiple cysts located in submucosal and serosal layers.

Solorzano J, Bhatt S, Dogra VS. Pneumatosis intestinalis ofm the sigmoid colon secondary to repetitive injury to the rectum from the insertion of foreign bodies [Online]. 2007 Aug 22. Available from: URL:http://www.medscape.com/viewarticle/561568

Donati F, Boraschi P, Giusti S, Spallanzani S. Pneumatosis cystoides intestinalis: imaging findings with colonoscopy correlation. Dig Liver Dis 2007;39(1):87-90.

al-Kharrat H, Soloway G, Grayer D, Roberts I. Pneumatosis intestinalis [online]. 2002 Apr. Available from: URL:http://www.bridgeporthospital.org/gme/caseofmonth. html

Perry CW, Phillips BJ. Pneumatosis intestinalis: A fractured hip? [Online]. 2009 Oct 16. Internet J Gastroenterol. Available from: URL: http://www.ispub.com/ostia/index.php?xmlFilePath=journals/ijge/vol1n2/pneumatosis.xml

Kahn CE Jr. Pneumatosis intestinalis [Online]. 2002 Apr 18. Available from: URL:http://chorus.rad.mcw.edu/to-go/00846.html

Goyal KS. Pneumatosis intestinalis [Online]. 2005 Jan 26. Available from: URL:http://emedicine.medscape.com/article/371955-overview

Goldberg E, LaMont JT. Pneumatosis intestinalis [Online]. 2009. Available from: URL:http://www.uptodate.com/patients/content/topic.do?to picKey=gi_dis/29790

Torreggiani WC, Lyburn ID, Harris AC, Munk PL. Luminal gas mimicking pneumatosis intestinalis. J Hong Kong Coll Radiol 2002;5:114-6.

Pear BL. Pneumatosis intestinalis: a review. Radiology 1998;207(1):13-9.

Zülke C, Ulbrich S, Graeb C, Hahn J, Strotzer M, Holler E, et al. Acute pneumatosis cystoides intestinalis following allogeneic transplantation: the surgeon's dilemma. Bone Marrow Transplant 2002;29(9):795-8.

Gillett PM, Russell RK, Wilson DC, Thomas AE. C difficile induced pneumatosis intestinalis in a neutropenic child. Arch Dis Child 2002;87(1):85.

Smith CD, Sarr MG. Clinically significant pneumatosis intestinalis with postoperative enteral feedings by needlecatheter jejunostomy: an unusual complication. JPEN J Parenter Enteral Nutr 1991;15(3):328-31.

Murphy ME, Rydzak E. Miscellaneous inflammatory and structural disorder of the colon. In: Yamada T, Alpers DH, Laine L, Owyang C, Powell DW, Silverstein FE, editors. Textbook of Gasteroenterology. 3rd ed. Philadelphia: Lippincott Williams and Wilkins; 1999. p. 83,1878.

Mills SE, Carter D, Greenson JK, Oberman HA, Reuter V, Stoler MH, editors. Sternberg's Diagnostic Surgical Pathology. 4th ed. Philadelphia: Lippincott, Williams and Wilkins; 2004.

Files
IssueVol 47, No 5 (2009) QRcode
SectionArticles
Keywords
Pneomatosis intestinalis aotopsy cyst

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Behnoush B, Bazmi S, Mohammadi F, Bazmi E, Dorvashi GA. Pneumatosis Intestinalis: Autopsy Finding. Acta Med Iran. 1;47(5):415-417.