Prednisolone induced pneumatosis coli and pneumoperitoneum  

作　　者：Serene S N Goh Vishal Shelat 

机构地区：[1]Department of General Surgery,Tan Tock Seng Hospital,Singapore 308433,Singapore

出　　处：《World Journal of Gastroenterology》2022年第28期3739-3742,共4页世界胃肠病学杂志（英文版）

摘　　要：Pneumatosis intestinalis(PI)is defined as the presence of gas within the submucosal or subserosal layer of the gastrointestinal tract.It is a radiologic sign suspicious for bowel ischemia,hence non-viable bowel must be ruled out in patients with PI.However,up to 15%of cases with PI are not associated with bowel ischemia or acute abdomen.We described an asymptomatic patient with prednisolone-induced PI and modified the Naranjo score to aid in a surgeon’s decision-making for emergency laparotomy vs non-operative management with serial assessment in patients who are immunocompromised due to long-term steroid use.

关 键 词：Benign pneumatosis Pneumatosis coli Pneumatosis intestinalis PREDNISOLONE 

分 类 号：R574[医药卫生—消化系统]