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Pneumatosis intestinalis after adult liver transplantation
Pneumatosis intestinalis is an uncommon disorder characterized by an accumulation of gas in the bowel wall. We described three cases undertaking liver transplantation. The patients developed diarrhea in three cases and high fever in two. An abdominal X-ray and computed tomography scan demonstrated e...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Surgical Society
2011
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3205374/ https://www.ncbi.nlm.nih.gov/pubmed/22066083 http://dx.doi.org/10.4174/jkss.2011.80.Suppl1.S47 |
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author | Kim, Jong Man Park, Yulri Joh, Jae-Won Kwon, Choon Hyuck David Kim, Sung Joo Hong, Seung Heui Lee, Suk-Koo |
author_facet | Kim, Jong Man Park, Yulri Joh, Jae-Won Kwon, Choon Hyuck David Kim, Sung Joo Hong, Seung Heui Lee, Suk-Koo |
author_sort | Kim, Jong Man |
collection | PubMed |
description | Pneumatosis intestinalis is an uncommon disorder characterized by an accumulation of gas in the bowel wall. We described three cases undertaking liver transplantation. The patients developed diarrhea in three cases and high fever in two. An abdominal X-ray and computed tomography scan demonstrated extensive pneumatosis intestinalis in the colon with pneumoperitoneum mimicking hollow organ perforation. However, the patients had no abdominal symptoms and there was no evidence of peritonitis. The infection work-up was negative except one case with cytomegalovirus antigenemia. After one week of conservative management including bowel rest and antibiotic therapy, their pneumoperitoneum resolved spontaneously without any complication. Pneumatosis intestinalis should be considered as a differential diagnosis after adult liver transplantation with patients suffering from watery diarrhea and fever. Pneumoperitoneum, air-density in mesentery and retroperitoneum in patients with pneumatosis intestinalis without signs of peritonitis improved with conservative management, which included bowel rest and antibiotic therapy. |
format | Online Article Text |
id | pubmed-3205374 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | The Korean Surgical Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-32053742011-11-07 Pneumatosis intestinalis after adult liver transplantation Kim, Jong Man Park, Yulri Joh, Jae-Won Kwon, Choon Hyuck David Kim, Sung Joo Hong, Seung Heui Lee, Suk-Koo J Korean Surg Soc Case Report Pneumatosis intestinalis is an uncommon disorder characterized by an accumulation of gas in the bowel wall. We described three cases undertaking liver transplantation. The patients developed diarrhea in three cases and high fever in two. An abdominal X-ray and computed tomography scan demonstrated extensive pneumatosis intestinalis in the colon with pneumoperitoneum mimicking hollow organ perforation. However, the patients had no abdominal symptoms and there was no evidence of peritonitis. The infection work-up was negative except one case with cytomegalovirus antigenemia. After one week of conservative management including bowel rest and antibiotic therapy, their pneumoperitoneum resolved spontaneously without any complication. Pneumatosis intestinalis should be considered as a differential diagnosis after adult liver transplantation with patients suffering from watery diarrhea and fever. Pneumoperitoneum, air-density in mesentery and retroperitoneum in patients with pneumatosis intestinalis without signs of peritonitis improved with conservative management, which included bowel rest and antibiotic therapy. The Korean Surgical Society 2011-06 2011-06-17 /pmc/articles/PMC3205374/ /pubmed/22066083 http://dx.doi.org/10.4174/jkss.2011.80.Suppl1.S47 Text en Copyright © 2011, the Korean Surgical Society http://creativecommons.org/licenses/by-nc/3.0 Journal of the Korean Surgical Society is an Open Access Journal. All articles are distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Kim, Jong Man Park, Yulri Joh, Jae-Won Kwon, Choon Hyuck David Kim, Sung Joo Hong, Seung Heui Lee, Suk-Koo Pneumatosis intestinalis after adult liver transplantation |
title | Pneumatosis intestinalis after adult liver transplantation |
title_full | Pneumatosis intestinalis after adult liver transplantation |
title_fullStr | Pneumatosis intestinalis after adult liver transplantation |
title_full_unstemmed | Pneumatosis intestinalis after adult liver transplantation |
title_short | Pneumatosis intestinalis after adult liver transplantation |
title_sort | pneumatosis intestinalis after adult liver transplantation |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3205374/ https://www.ncbi.nlm.nih.gov/pubmed/22066083 http://dx.doi.org/10.4174/jkss.2011.80.Suppl1.S47 |
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