link
Bookmarks
Pediatrics
Diagnosis
Gastrointestinal
Abnormalities in Immunocompromised Children
Pneumatosis in Older Children
Pneumatosis in Older Children
Ethan A. Smith, MD
To access 4,300 diagnoses written by the world's leading experts in radiology.Try it free - 15 days
0
0
2
0

KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Synonyms

              • Pneumatosis intestinalis; pneumatosis coli (confined to colon); pneumatosis cystoides intestinalis

            • Definitions

              • Presence of gas within walls of gastrointestinal tract
                • Associated with necrotizing enterocolitis in
                  • Premature infants
                  • Term newborns with congenital heart disease & other cardiovascular abnormalities
                • In older children, more frequently benign & associated with variety of underlying conditions & medications

            IMAGING

            • General Features

              • Radiographic Findings

                • CT Findings

                  • Ultrasonographic Findings

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Gross Pathologic & Surgical Features

                          CLINICAL ISSUES

                          • Treatment

                            Selected References

                            1. Ryan JL et al: Conservative management of pneumatosis intestinalis and portal venous gas after pediatric liver transplantation. Transplant Proc. 52(3):938-42, 2020
                            2. Chang CY et al: Benign pneumatosis intestinalis in a pediatric patient with multiple risk factors including granulomatosis with polyangiitis: a case report and review of the literature. Semin Arthritis Rheum. 44(4):423-7, 2015
                            3. Gui X et al: Is pneumatosis cystoides intestinalis gas-distended and ruptured lymphatics? Reappraisal by immunohistochemistry. Arch Pathol Lab Med. 138(8):1059-66, 2014
                            4. Lee KS et al: Distinguishing benign and life-threatening pneumatosis intestinalis in patients with cancer by CT imaging features. AJR Am J Roentgenol. 200(5):1042-7, 2013
                            5. Korhonen K et al: Incidence, risk factors, and outcome of pneumatosis intestinalis in pediatric stem cell transplant recipients. Pediatr Blood Cancer. 58(4):616-20, 2012
                            6. Duron VP et al: Computed tomographic diagnosis of pneumatosis intestinalis: clinical measures predictive of the need for surgical intervention. Arch Surg. 146(5):506-10, 2011
                            7. Li S et al: Pneumatosis intestinalis in children with acute lymphoblastic leukemia and acute myeloid leukemia. Support Care Cancer. 20(2):343-7, 2011
                            8. Olson DE et al: CT predictors for differentiating benign and clinically worrisome pneumatosis intestinalis in children beyond the neonatal period. Radiology. 253(2):513-9, 2009
                            9. McCarville MB et al: Clinical and CT features of benign pneumatosis intestinalis in pediatric hematopoietic stem cell transplant and oncology patients. Pediatr Radiol. 38(10):1074-83, 2008
                            10. Ho LM et al: Pneumatosis intestinalis in the adult: benign to life-threatening causes. AJR Am J Roentgenol. 188(6):1604-13, 2007
                            Related Anatomy
                            Loading...
                            Related Differential Diagnoses
                            Loading...
                            References
                            Tables

                            Tables

                            KEY FACTS

                            • Terminology

                              • Imaging

                                • Top Differential Diagnoses

                                  • Pathology

                                    • Clinical Issues

                                      TERMINOLOGY

                                      • Synonyms

                                        • Pneumatosis intestinalis; pneumatosis coli (confined to colon); pneumatosis cystoides intestinalis

                                      • Definitions

                                        • Presence of gas within walls of gastrointestinal tract
                                          • Associated with necrotizing enterocolitis in
                                            • Premature infants
                                            • Term newborns with congenital heart disease & other cardiovascular abnormalities
                                          • In older children, more frequently benign & associated with variety of underlying conditions & medications

                                      IMAGING

                                      • General Features

                                        • Radiographic Findings

                                          • CT Findings

                                            • Ultrasonographic Findings

                                              DIFFERENTIAL DIAGNOSIS

                                                PATHOLOGY

                                                • General Features

                                                  • Gross Pathologic & Surgical Features

                                                    CLINICAL ISSUES

                                                    • Treatment

                                                      Selected References

                                                      1. Ryan JL et al: Conservative management of pneumatosis intestinalis and portal venous gas after pediatric liver transplantation. Transplant Proc. 52(3):938-42, 2020
                                                      2. Chang CY et al: Benign pneumatosis intestinalis in a pediatric patient with multiple risk factors including granulomatosis with polyangiitis: a case report and review of the literature. Semin Arthritis Rheum. 44(4):423-7, 2015
                                                      3. Gui X et al: Is pneumatosis cystoides intestinalis gas-distended and ruptured lymphatics? Reappraisal by immunohistochemistry. Arch Pathol Lab Med. 138(8):1059-66, 2014
                                                      4. Lee KS et al: Distinguishing benign and life-threatening pneumatosis intestinalis in patients with cancer by CT imaging features. AJR Am J Roentgenol. 200(5):1042-7, 2013
                                                      5. Korhonen K et al: Incidence, risk factors, and outcome of pneumatosis intestinalis in pediatric stem cell transplant recipients. Pediatr Blood Cancer. 58(4):616-20, 2012
                                                      6. Duron VP et al: Computed tomographic diagnosis of pneumatosis intestinalis: clinical measures predictive of the need for surgical intervention. Arch Surg. 146(5):506-10, 2011
                                                      7. Li S et al: Pneumatosis intestinalis in children with acute lymphoblastic leukemia and acute myeloid leukemia. Support Care Cancer. 20(2):343-7, 2011
                                                      8. Olson DE et al: CT predictors for differentiating benign and clinically worrisome pneumatosis intestinalis in children beyond the neonatal period. Radiology. 253(2):513-9, 2009
                                                      9. McCarville MB et al: Clinical and CT features of benign pneumatosis intestinalis in pediatric hematopoietic stem cell transplant and oncology patients. Pediatr Radiol. 38(10):1074-83, 2008
                                                      10. Ho LM et al: Pneumatosis intestinalis in the adult: benign to life-threatening causes. AJR Am J Roentgenol. 188(6):1604-13, 2007