There are also researches reporting various symptoms ranging from internal hernia to mesenteric lymphocele, pneumatosis
, and gastrointestinal bleeding in some patients with malrotation [4,5].
Pathogenic Classification of Pneumatosis
The image also demonstrates the presence of intramural bowel gas (pneumatosis
Complications of the group of patients included seizures (three cases), subcutaneous effusion (three cases), subdural effusion (four cases), intracranial pneumatosis
(seven cases), and pneumonia (three cases).
intestinalis (PI) is a rare entity with subserosal or submucosal collections of gas in the intestinal wall.
Gastric bezoar causing intramural pneumatosis
. J Clin Gastroenterol 1994; 18: 264.
Furthermore, there may be findings that help differentiate between an acute and a chronic process; bowel wall thickening, pneumatosis
, and portomesenteric gas indicate an acute process and are absent in CMI.
Salazar, "Necrotizing pancreatitis presenting with hepatic portal venous gas and pneumatosis
intestinalis," International Journal of Hepatobiliary and Pancreatic Diseases, vol.
The diagnosis of NEC was defined using Bell's criteria and modified by Walsh and Kliegman , including clinical findings of abdominal distension, feeding intolerance, and radiographic findings (the presence of pneumatosis
intestinalis, pneumoperitoneum, and/or portal gas).
CT abdomen revealed bowel wall edema, pneumatosis
, and focal perforation involving the anterior wall cecum/ascending colon, with extensive pneumoperitoneum.
NEC (necrotizing enterocolitis) was defined as the presence of pneumatosis
intestinalis or air in the portal vein on an X-ray or surgical diagnosis at the time of laparotomy .