Pneumatosis intestinalis after adult liver transplantation / 대한외과학회지
Journal of the Korean Surgical Society
;
: S47-S50, 2011.
Article
in English
| WPRIM
| ID: wpr-164433
ABSTRACT
Pneumatosis intestinalis is an uncommon disorder characterized by an accumulation of gas in the bowel wall. We described three cases undertaking liver transplantation. The patients developed diarrhea in three cases and high fever in two. An abdominal X-ray and computed tomography scan demonstrated extensive pneumatosis intestinalis in the colon with pneumoperitoneum mimicking hollow organ perforation. However, the patients had no abdominal symptoms and there was no evidence of peritonitis. The infection work-up was negative except one case with cytomegalovirus antigenemia. After one week of conservative management including bowel rest and antibiotic therapy, their pneumoperitoneum resolved spontaneously without any complication. Pneumatosis intestinalis should be considered as a differential diagnosis after adult liver transplantation with patients suffering from watery diarrhea and fever. Pneumoperitoneum, air-density in mesentery and retroperitoneum in patients with pneumatosis intestinalis without signs of peritonitis improved with conservative management, which included bowel rest and antibiotic therapy.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Peritonitis
/
Pneumoperitoneum
/
Stress, Psychological
/
Liver Transplantation
/
Colon
/
Cytomegalovirus
/
Diagnosis, Differential
/
Diarrhea
/
Fever
/
Liver
Type of study:
Diagnostic study
Limits:
Adult
/
Humans
Language:
English
Journal:
Journal of the Korean Surgical Society
Year:
2011
Type:
Article
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