Volume : VII, Issue : IV, April - 2018

A VERY RARE ACUTE ABDOMEN CAUSE; PNEUMATOSIS INTESTINALIS

Murat Kendirci, Ramazan Topcu

Abstract :

The experience which was obtained from the patients who applied to the emergency service with acute abdomen disorder and who were treated and followed up with the diagnosis of Pneumatosisintestinalis was presented.The data of 8 patients who applied to the emergency service with abdominal pain complaint between July 2012 and July 2017, followed up and treated with the diagnosis of pneumatosisintestinalis were retrospectively evaluated.Five of the patients were male and three of them were female. The mean age of the patients was 68 (58–81y). When detailed medical histories were examined, we found that 4 patients had chronic smoking, 3 patients had the chronic obstructive pulmonary disease, none of them had a history of surgery and known gastrointestinal system diseases. Mean HB value was 10.2 g/dl (9.4–12.4 g/dl), white blood cell count was 11250/mm3(7200–12100/mm3). Despite the absence of acute abdominal pain, 6 of 8 patients were admitted to emergency surgery due to the presence of free air in direct graphics and continuous abdominal pain suggestive of perforation, then segmental small intestine resection and end–to–end anastomosis were performed by open surgery, and 2 patients were followed non–operatively after regulating the medical treatment in the hospital.It should be noted that pneumatosisintestinalis is a clinical symptom. Early diagnosis can be difficult because many systems can be associated with the disease. However, careful evaluation of clinical findings, radiological data, secondary diseases and laboratory data will help the clinician determine the correct diagnosis and appropriate treatment method. 

Article: Download PDF    DOI : https://www.doi.org/10.36106/paripex  

Cite This Article:

Murat Kendirci, Ramazan Topcu, A VERY RARE ACUTE ABDOMEN CAUSE; PNEUMATOSIS INTESTINALIS, PARIPEX‾INDIAN JOURNAL OF RESEARCH : Volume-7 | Issue-4 | April-2018


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