Air in the wall of the small or large intestine
Can occur in a variety of clinical settings, ranging from benign to life-threatening
Gas can be located in the mucosa, submucosa, and/or...
Symptoms—dependent on location (1)
Abdominal distention 59%
Weight loss 55%
Abdominal pain 53%
Primary PI can often be managed medically, whereas secondary PI typically requires surgical intervention.
A management algorithm for adult PI has been suggested (3)[B] with a ...
Serial abdominal exams
For asymptomatic patients, follow-up imaging is not required.
Repeat imaging for recurrent symptoms.
A trial of an elemental diet for 2 we...
Goyal R, Lee HK, Akerman M, et al. Clinical and imaging features indicative of clinically worrisome pneumatosis: key components to identifying proper medical intervention. Emerg Rad...
PI is mostly an incidental, benign finding in adults.
It can be difficult to differentiate primary from secondary PI because they can present with similar symptoms.
Management of primary...
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