Pneumatosis intestinalis: Difference between revisions
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'''Pneumatosis intestinalis''' is presence of air in the wall of the intestine. May be referred to as '''pseudolipomatosis'''.<ref name=pmid14669349>{{cite journal |authors=Alper M, Akcan Y, Belenli OK, Cukur S, Aksoy KA, Suna M |title=Gastric pseudolipomatosis, usual or unusual? Re-evaluation of 909 endoscopic gastric biopsies |journal=World J Gastroenterol |volume=9 |issue=12 |pages=2846–8 |date=December 2003 |pmid=14669349 |pmc=4612068 |doi=10.3748/wjg.v9.i12.2846 |url=}}</ref> | |||
''Pseudolipomatosis coli'' directs here. ''Microvesicular pneumatosis'' redirects here. | |||
==General== | |||
*Bad prognosis - esp. if diffuse. | |||
==Gross== | |||
*Small bubbles in the intestinal wall. | |||
==Microscopic== | |||
Features: | |||
*+/-Large submucosal pseudocysts - see ''[[pneumatosis cystoides intestinalis]]''. | |||
*+/-Vacuolation of the mucosa - fat-like spaces 30-250 micrometres in diameter.<ref name=pmid14669349>{{cite journal |authors=Alper M, Akcan Y, Belenli OK, Cukur S, Aksoy KA, Suna M |title=Gastric pseudolipomatosis, usual or unusual? Re-evaluation of 909 endoscopic gastric biopsies |journal=World J Gastroenterol |volume=9 |issue=12 |pages=2846–8 |date=December 2003 |pmid=14669349 |pmc=4612068 |doi=10.3748/wjg.v9.i12.2846 |url=}}</ref> | |||
Notes: | |||
*A microvesicular pattern is described - where the voids are 20-200 micrometres.<ref name=pmid14658539>{{cite journal |authors=Belenli OK, Akcan Y, Alper M |title=Micropneumatosis coexistent with Helicobacter pylori and its improvement |journal=Indian J Gastroenterol |volume=22 |issue=5 |pages=191–2 |date=2003 |pmid=14658539 |doi= |url=}}</ref> | |||
Image: | |||
*[http://www.wjes.org/content/6/1/15/figure/F4?highres=y Pneumatosis cystoides intestinalis (wjes.org)].<ref name=pmid21548980>{{Cite journal | last1 = Takami | first1 = Y. | last2 = Koh | first2 = T. | last3 = Nishio | first3 = M. | last4 = Nakagawa | first4 = N. | title = Pneumatosis intestinalis leading to perioperative hypovolemic shock: Case report. | journal = World J Emerg Surg | volume = 6 | issue = | pages = 15 | month = | year = 2011 | doi = 10.1186/1749-7922-6-15 | PMID = 21548980 |PMC = PMC3108289}}</ref> | |||
*[https://pmc.ncbi.nlm.nih.gov/articles/PMC6172536/ Pseudolipomatosis (nih.gov)].<ref name=pmid29709952>{{cite journal |authors=Iwamuro M, Tanaka T, Kawabata T, Sugihara Y, Harada K, Hiraoka S, Okada H |title=Pseudolipomatosis of the Colon and Cecum Followed by Pneumatosis Intestinalis |journal=Intern Med |volume=57 |issue=17 |pages=2501–2504 |date=September 2018 |pmid=29709952 |pmc=6172536 |doi=10.2169/internalmedicine.0730-17 |url=}}</ref> | |||
==See also== | |||
*[[Gastrointestinal pathology]]. | |||
*[[Pneumatosis cystoides intestinalis]]. | |||
==References== | |||
{{Reflist|2}} | |||
[[Category:Diagnosis]] | [[Category:Diagnosis]] | ||
[[Category:Gastrointestinal pathology]] | |||