12 July 2020>: Articles
Pneumatosis Intestinalis and Hepatic Portal Venous Gas: Watch and Wait or Emergency Surgery? A Case Report and Literature Review
Challenging differential diagnosis, Management of emergency care, Rare coexistence of disease or pathology
Rigers Dibra A , Arcangelo Picciariello A* , Giuseppe Trigiante A , Grazia Labellarte A , Giovanni Tota A , Vincenzo Papagni A , Gennaro Martines A , Donato F. Altomare ADOI: 10.12659/AJCR.923831
Am J Case Rep 2020; 21:e923831
Table 1. Conditions that could require emergency surgery in patients with pneumatosis intestinalis.
Decision-making in pneumatosis intestinalis | |
---|---|
Demographic, clinical presentation and physical examination | Age >60 years |
Hemodynamic instability | |
Peritonitis | |
Adynamic ileus | |
Laboratory and radiographic | Elevated WBC |
Lactate ≥2 mmol/L | |
Elevated INR | |
Hepatic portal venous gas | |
Small bowel location | |
WBC – white blood cells; INR – international normalized ratio. |