Assuntos
Abdome/diagnóstico por imagem , Abdome/anatomia & histologia , Humanos , Fígado/diagnóstico por imagem , Artérias Mesentéricas/diagnóstico por imagem , Pâncreas/diagnóstico por imagem , Veias Renais/diagnóstico por imagem , Veia Esplênica/diagnóstico por imagem , Estômago/diagnóstico por imagem , UltrassonografiaRESUMO
An adult patient who had AIDS was admitted to hospital following a fall in which they sustained a T12 vertebral fracture. The patient incidentally was found to have pneumatosis intestinalis upon a thoracolumbar radiograph taken approximately 2 weeks after their admission to the hospital. At this point in time the patient reported having diarrhoea and a distended abdomen. The patient did not have any other medical history of note. Upon examination the patient appeared comfortable. The patient's abdomen was distended but soft and non-tender. Laboratory investigations revealed a chronic normocytic anaemia and neutropenia. It was likely that the pneumatosis intestinalis was AIDS related. A CT scan confirmed its presence but revealed an atypical distribution. Despite its dramatic appearance, the patient was successfully managed conservatively and remained well during admission.