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Case Reports in MedicineVolume 2011 2011, Article ID 571387, 5 pages

Case Report

Department of Medicine, Mayo Clinic, Jacksonville, FL 32224, USA

Department of Radiology, Mayo Clinic, Jacksonville, FL 32224, USA

Received 8 August 2010; Revised 19 December 2010; Accepted 11 January 2011

Academic Editor: A. R. Satoskar

Copyright © 2011 Sean Donovan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Pneumatosis intestinalis PI, defined as gas within the bowel wall, is an uncommon radiographic sign which can represent a wide spectrum of diseases and a variety of underlying diagnoses. Because its etiology can vary greatly, management of PI ranges from surgical intervention to outpatient observation see, Greenstein et al. 2007, Morris et al. 2008, and Peter et al. 2003. Since PI is infrequently encountered, clinicians may be unfamiliar with its diagnosis and management; this unfamiliarity, combined with the potential necessity for urgent intervention, may place the clinician confronted with PI in a precarious medical scenario. We present a case of pneumatosis intestinalis in a patient who posed a particularly challenging diagnostic dilemma for the primary team. Furthermore, we explore the differential diagnosis prior to revealing the intervention offered to our patient; our concise yet inclusive differential and thought process for rapid evaluation may be of benefit to clinicians presented with similar clinical scenarios.

Autor: Sean Donovan, Joseph Cernigliaro, and Nancy Dawson



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