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Pneumatosis intestinalis and pneumoperitoneum on computed tomography: Beware of non-therapeutic laparotomy.
World J Gastrointest Surg
June 2011
Kuan-Chun Hsueh, Shung-Sheng Tsou, Kok-Tong Tan, Department of Surgery, Tungs' Taichung MetroHarbor Hospital, Taichung City 435, Taiwan, China.
Pneumatosis intestinalis (PI) is defined as gas within the gastrointestinal wall and is associated with a variety of disorders. As a concurrent occurrence with pneumoperitoneum, it can easily to be mistaken for bowel ischemia with perforated peritonitis. In fact, air dissection or rupture from subserosal cysts may be the cause of intraperitoneal and intraluminal free air, with clinical symptoms such as abdominal pain and fullness occurring as a result.
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