医学
气腹
肠囊样积气
剖腹探查术
肠梗塞
慢性阻塞性肺病
肺病
剖腹手术
重症监护医学
疾病
病史
阻塞性肺病
外科
内科学
腹腔镜检查
作者
Genna Logue,Mubeen Chaudhry
出处
期刊:BJR|case reports
日期:2023-08-01
卷期号:9 (4)
标识
DOI:10.1259/bjrcr.20230020
摘要
Pneumatosis is always an alarming sign that may result from life-threatening bowel ischaemia and infarction; however, benign intramural gas can also result from a variety of secondary conditions including chronic obstructive pulmonary disease (COPD). Pneumoperitoneum and pneumoretroperitoneum can be seen with both entities. Therefore, thorough discussions with the referring clinicians regarding the patient's medical history, clinical examination and laboratory results are mandatory. Benign causes can be managed conservatively, however, emergency exploratory laparotomy is often required in suspected life-threatening conditions. Misinterpretation of this finding can lead to incorrect diagnosis and unnecessary surgery.
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