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 (2)
Small intestine
Vomiting 60%
Abdominal distention 59%
Weight loss 55%
Abdominal pain 53%
Diarrhea 27%
Large intestine
Diarrhea 56%
Hematochezia 50%
Abdominal...
Primary PI can often be managed medically, whereas secondary PI typically requires surgical intervention. Surgery is reserved for patients who remain symptomatic despite medi...
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...
Di Pietropaolo M, Trinci M, Giangregorio C, Galluzzo M, Miele V. Pneumatosis cystoides intestinalis: case report and review of literature. Clin J Gastroenterol....
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...
Sign up for a 10-day FREE Trial now and receive full access to all content.