An avoidable abdominal surgery: pneumatosis coli.
Am J Emerg Med
; 26(4): 517.e1-2, 2008 May.
Article
en En
| MEDLINE
| ID: mdl-18410833
ABSTRACT
We report on the case of a 90-year-old man who presented to the emergency department with constipation for 1 week and abdominal fullness for 2 days. Abdominal plain film radiography disclosed intramural air in the colon, which indicated pneumatosis coli (PC). Exploratory laparotomy was performed immediately under the impression of ischemic bowel disease. Through examination of the mesentery, the intestine and colon revealed no sign of perforation and ischemia. Surgery for PC is limited to patients with signs of perforation, peritonitis, intra-abdominal abscess, or bowel ischemia. Conservative treatment with oxygen supply, hyperbaric oxygen therapy, and antibiotics remain to be the mainstay for most patients with PC.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Neumatosis Cistoide Intestinal
/
Procedimientos Innecesarios
Tipo de estudio:
Diagnostic_studies
Límite:
Aged80
/
Humans
/
Male
Idioma:
En
Revista:
Am J Emerg Med
Año:
2008
Tipo del documento:
Article
País de afiliación:
Taiwán