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%
Critically ill, unstable patients should be res...
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...
Awashima M, Fujikura Y, Kawana A. Pneumatosis intestinalis [published online ahead of print February 9, 2018]. Intern Med. doi:10.2169/internalmedicine.9886-17.
Ho LM, Paulson EK, Th...
PI is mostly an incidental, benign finding in adults—examine for signs of bowel perforation.
Abdominal CT scan is diagnostic test of choice in adults.
Single best test to identify PI (an...
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