scholarly journals A rare case of emphysematous pyelonephritis associated with pneumatosis intestinalis and bowel ischemia

2021 ◽  
Vol 38 ◽  
pp. 101685
Author(s):  
Albara Hariri ◽  
Abdulhkam Aljarbou ◽  
Khalid Albalawi ◽  
Saad Alqasem ◽  
Ibrahim Alowidah ◽  
...  
Keyword(s):  
Rare Case ◽  
Pneumatosis Intestinalis ◽  
Bowel Ischemia ◽  
Emphysematous Pyelonephritis

scholarly journals Benign pneumatosis intestinalis: a cause of massive pneumoperitoneum in the adult

CJEM ◽  
2003 ◽  
Vol 5 (06) ◽  
pp. 416-420 ◽  
Author(s):  
David M. Liu ◽  
William C. Torreggiani ◽  
Kevin Rowan ◽  
Savvas Nicolaou
Keyword(s):  
Bowel Wall ◽  
Surgical Intervention ◽  
Pneumatosis Intestinalis ◽  
Bowel Ischemia ◽  
Benign Condition ◽  
Distinguishing Features

ABSTRACT Pneumatosis intestinalis (gas in the bowel wall) is often a benign condition, but it may mimic bowel ischemia or infarction and lead to unnecessary surgical intervention, especially when associated with pneumoperitoneum. We present a case of benign pneumatosis intestinalis with massive pneumoperitoneum and discuss various distinguishing features that may aid in its diagnosis.

scholarly journals A RARE CASE OF SMALL BOWEL PNEUMATOSIS INTESTINALIS PRESENTING WITH SHOCK- A CASE REPORT

2018 ◽  
Vol 7 (50) ◽  
pp. 5400-5401
Author(s):  
Shrijit Kumar ◽  
Hemendra Singh ◽  
Yogesh Jhamb ◽  
Kaza R. C. M ◽  
Aditya Arya
Keyword(s):  
Case Report ◽  
Small Bowel ◽  
Rare Case ◽  
Pneumatosis Intestinalis

Bowel ischemia caused by a giant thrombus in the ascending aorta. A case report

Vascular ◽  
2014 ◽  
Vol 23 (6) ◽  
pp. 641-644 ◽  
Author(s):  
Hua-Dong Li ◽  
Tu-Cheng Sun
Keyword(s):  
Rare Case ◽  
Rare Condition ◽  
Ascending Aorta ◽  
Bowel Ischemia ◽  
Synthetic Graft ◽  
Aortic Thrombosis ◽  
Coagulation Therapy ◽  
Aortic Thrombus ◽  
Organized Thrombus

Although an ascending aortic thrombus is a rare condition, it can cause serious complications of thromboembolism. Here we present a rare case of a patient who was hospitalized due to ileal arteries embolization caused by emboli from a giant thrombus in the ascending aorta. After 10 days anti-coagulation therapy, we performed a surgery to replace the ascending aorta containing the strip organized thrombus with a synthetic graft. During two years of postoperative follow-up, no recurrence of aortic thrombosis was found. Although the exact cause of this thrombus remains unclear, we believe that it is important to perform a surgery as soon as the presence of an ascending aortic thrombus is confirmed, which could help preventing the major recurrent embolic events.

scholarly journals Extensive emphysematous pyelonephritis in association with hepatic portal venous gas and emphysematous gastritis: A rare case

2014 ◽  
Vol 41 (1) ◽  
pp. 54
Author(s):  
Vikram Prabha ◽  
Ritesh Vernekar ◽  
JV Chethan ◽  
Siddayya Hiremath ◽  
Murigendra Hiremath
Keyword(s):  
Rare Case ◽  
Hepatic Portal Venous Gas ◽  
Emphysematous Pyelonephritis ◽  
Portal Venous Gas ◽  
Emphysematous Gastritis ◽  
Hepatic Portal

PS02.152: DEVELOPMENT OF INTESTINAL PNEUMATOSIS AND PORTAL VENOUS GAS AFTER ESOPHAGECTOMY IS NOT INDICATIVE OF ISCHEMIC BOWEL AND CAN BE SUCCESSFULLY MANAGED NON-OPERATIVELY

2018 ◽  
Vol 31 (Supplement_1) ◽  
pp. 164-164
Author(s):  
Erin Gillaspie ◽  
Micheal Moynagh ◽  
Sameh Said ◽  
Mark Allen ◽  
Shanda Blackmon ◽  
...  
Keyword(s):  
Conflicts Of Interest ◽  
Case Series ◽  
Pneumatosis Intestinalis ◽  
Bowel Ischemia ◽  
Tube Placement ◽  
Jejunostomy Tube ◽  
Radiographic Findings ◽  
Intestinal Pneumatosis ◽  
Ischemic Bowel ◽  
Portal Venous Gas

Abstract Background Pneumatosis intestinalis has long been a marker of advanced bowel ischemia and prompts urgent laparotomy. In post-operative settings, the presence of pneumatosis represents a significant management dilemma. We share a case-series of post-esophagectomy patients with pneumatosis intestinalis and no corollary intra-abdominal pathologic findings on re-exploration. Methods January 2000 to December 2017, 1760 patients underwent Ivor-Lewis esophagectomy or gastrectomy with jejunostomy-tube placement. Charts were reviewed retrospectively to identify patients with pneumatosis intestinalis discovered in the post-operative period. Demographic data, operative details and postoperative course were reviewed including incidence and details of re-exploration. Results Eleven patients met inclusion criteria. Nine were male (81.8%) and mean age was 69 years. All patients had radiographic confirmation of pneumatosis intestinalis and in many cases portal venous gas (Figure 1). Clinical course was variable without discernable trends in vitals or laboratory values. Development of significant postoperative ileus along with delivery of enteral tube feeds through a jejunostomy tube preceded development of the pneumatosis in all patients. Nine patients were re-explored and none had evidence of bowel ischemia. Conclusion The finding of pneumatosis intestinalis in the post-operative setting can be alarming and pose a management dilemma. With the advent of improved and readily available imaging, there has been an increase in findings that have no corollary physical symptomatology. In this series of patients, despite dramatic radiographic findings, none had ischemic bowel. Pneumatosis intestinalis alone in patients who have undergone esophagectomy should not be considered an indication for emergency re-exploration. Disclosure All authors have declared no conflicts of interest.

scholarly journals A rare case of double kidney stones and Emphysematous Pyelonephritis presenting with septic shock

2020 ◽  
Vol 31 ◽  
pp. 101172
Author(s):  
Wubin Tan ◽  
Tieqiu Li ◽  
Ke Yang ◽  
Zheng Mao ◽  
Jiahui Li
Keyword(s):  
Septic Shock ◽  
Kidney Stones ◽  
Rare Case ◽  
Emphysematous Pyelonephritis

Extensive Portal Venous Gas and Pneumatosis Intestinalis in the Absence of Small Bowel Ischemia or Infarction

2007 ◽  
Vol 102 ◽  
pp. S373-S374
Author(s):  
Pavan K. Pinnamaneni ◽  
Parupudi V.J. Sriram ◽  
David Hodges ◽  
Ari Halldorsson
Keyword(s):  
Small Bowel ◽  
Pneumatosis Intestinalis ◽  
Bowel Ischemia ◽  
Portal Venous Gas

scholarly journals An extremely rare case of whirl sign in combination with colonic pneumatosis intestinalis: What is your provisional diagnosis?

2012 ◽  
Vol 2 (4) ◽  
pp. 125-127 ◽  
Author(s):  
Chih-Jung Chang ◽  
Mau-Sheng Lin ◽  
Jen-Tang Sun ◽  
Kuang-Chau Tsai ◽  
Chieh-Min Fan
Keyword(s):  
Rare Case ◽  
Pneumatosis Intestinalis ◽  
Provisional Diagnosis ◽  
Whirl Sign
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