Pneumatosis Intestinalis Predictive Evaluation Study

Ferrada, Paula; Callcut, Rachael A.; Bauzá, Graciela; O’Bosky, Karen R.; Luo-Owen, Xian; Mansfield, Nicky J.; Inaba, Kenji; Pasley, Jason; Bugaev, Nikolay; Pereira, Bruno; Moore, Forrest O.; Han, Jinfeng; Pasley, Amelia; DuBose, Joseph J.

doi:10.1097/ta.0000000000001360

Cited by 29 publications

(10 citation statements)

References 19 publications

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“…A recent prospective multicenter trial examined 127 adults who were found on computed tomography to have pneumatosis 128. Investigators prospectively collected information on comorbidities, clinical presentation, and other imaging findings that might predict which patients with pneumatosis had or would develop transmural ischemia.…”

Section: Imagingmentioning

confidence: 99%

Secondary peritonitis: principles of diagnosis and intervention

Ross

Matthay

Harris

2018

BMJ

119

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Secondary peritonitis accounts for 1% of urgent or emergent hospital admissions and is the second leading cause of sepsis in patients in intensive care units globally. Overall mortality is 6%, but mortality rises to 35% in patients who develop severe sepsis. Despite the dramatic growth in the availability and use of imaging and laboratory tests, the rapid diagnosis and early management of peritonitis remains a challenge for physicians in emergency medicine, surgery, and critical care. In this article, we review the pathophysiology of peritonitis and its potential progression to sepsis, discuss the utility and limitations of the physical examination and laboratory and radiographic tests, and present a paradigm for the management of secondary peritonitis.

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Section: Imagingmentioning

confidence: 99%

Secondary peritonitis: principles of diagnosis and intervention

Ross

Matthay

Harris

2018

BMJ

119

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“…Conversely, radiological patterns did not appear to be as useful in distinguishing pathologic PI from benign PI in the context of other independent predictors. Furthermore, the decreased level of hemoglobin, could reflect a sloughing of the mucosa as an effect of necrosis which leads to gastrointestinal bleeding [ 28 ] ( Table 1 ).…”

Section: Discussionmentioning

confidence: 99%

Pneumatosis Intestinalis and Hepatic Portal Venous Gas: Watch and Wait or Emergency Surgery? A Case Report and Literature Review

et al. 2020

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“…Conservative approach is allowed in a stable patient with no signs of complications [2]. In the presence of predictive factors of pathologic PCI, namely transmural ischemia and bowel perforation, surgical procedure is required [9].…”

Section: Discussionmentioning

confidence: 99%

Pneumatosis cystoides intestinalis revealed after a hand-to-hand aggression: A case report

Belkhir

Jrad

Sebei

et al. 2019

International Journal of Surgery Case Reports

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Highlights Pneumatosis cystoides intestinalis should be interpreted with relevance to the entire clinical context. Positive diagnosis can be established by computed tomography imaging. Management of PCI is conditioned by the clinical and radiological presentation which is essentially related to the primary cause. Surgical procedure is required when suspecting transmural ischemia or bowel perforation.

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Pneumatosis Intestinalis Predictive Evaluation Study

Abstract: Prognostic study, level II; therapeutic study, level II.

Cited by 29 publications

References 19 publications

Secondary peritonitis: principles of diagnosis and intervention

Secondary peritonitis: principles of diagnosis and intervention

Pneumatosis Intestinalis and Hepatic Portal Venous Gas: Watch and Wait or Emergency Surgery? A Case Report and Literature Review

Pneumatosis cystoides intestinalis revealed after a hand-to-hand aggression: A case report

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