Primary pneumatosis intestinalis

Bening pneumatosis intestinalis with worrisome radiological findings at first glance. Pneumoperitoneum (green arrow) and air dissecting the fat abdominal planes (yellow asterisk) were incidental findings in this chest X-ray performed for the depiction of a PICC (orange arrow).
Bening
pneumatosis intestinalis with worrisome radiological findings at first glance. Pneumoperitoneum (green arrow) and air dissecting the fat abdominal planes (yellow asterisk) were incidental findings in this chest X-ray performed for the depiction of a PICC (orange arrow).
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Bening pneumatosis intestinalis with worrisome radiological findings at first glance. Axial (a,b,c,d), coronal (d) and sagittal (e) CT images on pulmonary window show pneumatosis intestinalis (blue arrows), air dissecting the fat abdominal planes (yellow asterisk) and pneumoperitoneum (green asterisk).
Bening
pneumatosis intestinalis with worrisome radiological findings at first glance. Axial (a,b,c,d), coronal (d) and sagittal (e) CT images on pulmonary window show pneumatosis intestinalis (blue arrows), air dissecting the fat abdominal planes (yellow asterisk) and pneumoperitoneum (green asterisk).
www.eurorad.org • CC by-nc-sa-4.0
Bening pneumatosis intestinalis with worrisome radiological findings at first glance. Axial (a,b,c,d), coronal (d) and sagittal (e) CT images on pulmonary window show pneumatosis intestinalis (blue arrows), air dissecting the fat abdominal planes (yellow asterisk) and pneumoperitoneum (green asterisk).
Bening
pneumatosis intestinalis with worrisome radiological findings at first glance. Axial (a,b,c,d), coronal (d) and sagittal (e) CT images on pulmonary window show pneumatosis intestinalis (blue arrows), air dissecting the fat abdominal planes (yellow asterisk) and pneumoperitoneum (green asterisk).
www.eurorad.org • CC by-nc-sa-4.0
Bening pneumatosis intestinalis with worrisome radiological findings at first glance. Axial (a,b,c,d), coronal (d) and sagittal (e) CT images on pulmonary window show pneumatosis intestinalis (blue arrows), air dissecting the fat abdominal planes (yellow asterisk) and pneumoperitoneum (green asterisk).
Bening
pneumatosis intestinalis with worrisome radiological findings at first glance. Axial (a,b,c,d), coronal (d) and sagittal (e) CT images on pulmonary window show pneumatosis intestinalis (blue arrows), air dissecting the fat abdominal planes (yellow asterisk) and pneumoperitoneum (green asterisk).
www.eurorad.org • CC by-nc-sa-4.0
Bening pneumatosis intestinalis with worrisome radiological findings at first glance. Axial (a,b,c,d), coronal (d) and sagittal (e) CT images on pulmonary window show pneumatosis intestinalis (blue arrows), air dissecting the fat abdominal planes (yellow asterisk) and pneumoperitoneum (green asterisk).
Bening
pneumatosis intestinalis with worrisome radiological findings at first glance. Axial (a,b,c,d), coronal (d) and sagittal (e) CT images on pulmonary window show pneumatosis intestinalis (blue arrows), air dissecting the fat abdominal planes (yellow asterisk) and pneumoperitoneum (green asterisk).
www.eurorad.org • CC by-nc-sa-4.0
Bening pneumatosis intestinalis with worrisome radiological findings at first glance. Axial (a,b,c,d), coronal (d) and sagittal (e) CT images on pulmonary window show pneumatosis intestinalis (blue arrows), air dissecting the fat abdominal planes (yellow asterisk) and pneumoperitoneum (green asterisk).
Bening
pneumatosis intestinalis with worrisome radiological findings at first glance. Axial (a,b,c,d), coronal (d) and sagittal (e) CT images on pulmonary window show pneumatosis intestinalis (blue arrows), air dissecting the fat abdominal planes (yellow asterisk) and pneumoperitoneum (green asterisk).
www.eurorad.org • CC by-nc-sa-4.0
Bening pneumatosis intestinalis with worrisome radiological findings at first glance. Axial (a,b,c,d), coronal (d) and sagittal (e) CT images on pulmonary window show intestinal pneumatosis (blue arrows), air dissecting the fat abdominal planes (yellow asterisk) and pneumoperitoneum (green asterisk).
Bening
pneumatosis intestinalis with worrisome radiological findings at first glance. Axial (a,b,c,d), coronal (d) and sagittal (e) CT images on pulmonary window show intestinal pneumatosis (blue arrows), air dissecting the fat abdominal planes (yellow asterisk) and pneumoperitoneum (green asterisk).
www.eurorad.org • CC by-nc-sa-4.0
Pneumatosis Intestinalis in HIV and MAC co-infection. On lung windows, the intramural gas seen on the abdominal radiograph was much more conspicuous.
Pneumatosis
Intestinalis in HIV and MAC co-infection. On lung windows, the intramural gas seen on the abdominal radiograph was much more conspicuous.
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Pneumatosis Intestinalis in HIV and MAC co-infection. Small bowel wall thickening and gross ascities.
Pneumatosis
Intestinalis in HIV and MAC co-infection. Small bowel wall thickening and gross ascities.
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Pneumatosis Intestinalis in HIV and MAC co-infection. Admission abdominal radiograph shows gross pneumatosis intestinalis of the large bowel. When compared with an earlier abdominal film three months ago, similar but less severe pneumatosis was demonstrated.
Pneumatosis
Intestinalis in HIV and MAC co-infection. Admission abdominal radiograph shows gross pneumatosis intestinalis of the large bowel. When compared with an earlier abdominal film three months ago, similar but less severe pneumatosis was demonstrated.
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Radiopaedia • CC-by-nc-sa 3.0 • de
ähnliche Suchen
benigne Pneumatosis intestinalis
Primary pneumatosis intestinalis
Primary pneumatosis intestinalis (PPI)
benign pneumatosis intestinalis
chronische Pneumatosis intestinalis
chronic pneumatosis intestinalis
siehe auch
Pneumatosis intestinalis
Unterscheidung Pseudo-Pneumatosis intestinalis - echte Pneumatosis intestinalis
pneumatosis intestinalis (mnemonic)
Pneumatosis intestinalis bei Sklerodermie
chronische Pneumatosis intestinalis bei HIV
Pneumatosis intestinalis bei Methotrexat
Pneumatosis intestinalis bei COPD

Primary pneumatosis intestinalis (PPI) is a benign idiopathic condition in which multiple gas-filled cystic lesions are seen in the gastrointestinal tract wall. The changes are usually seen initially on radiography or CT with CT being the more sensitive test.

Epidemiology

Primary pneumatosis intestinalis is rare and was shown in one study to comprise 15% of cases of all intestinal pneumatosis .

Clinical presentation

This condition is usually asymptomatic and presents as an incidental finding on medical imaging.

Pathology

Multiple gas-filled cysts are seen in the mucosa and submucosa of the small and large bowel.

Differential diagnosis

  • ischemic bowel: gas in the ischemic bowel wall has a linear or bubble-like pattern, in contrast to the PPI gas pattern, which is circular
  • causes of secondary pneumatosis intestinalis
    • post-instrumentation of the bowel e.g. endoscopy, surgery 
    • COPD, ventilated patients
    • drugs such as steroids, chemotherapy (e.g. bevacizumab)
  • pseudopneumatosis: intraluminal gas trapped between feces and the bowel wall

See also

Siehe auch:
und weiter:
Assoziationen und Differentialdiagnosen zu benigne Pneumatosis intestinalis:
Pneumatosis intestinalis
Pneumatosis
intestinalis
Wikipedia • CC BY-SA 4.0
Unterscheidung Pseudo-Pneumatosis intestinalis - echte Pneumatosis intestinalis
Unterscheidung
Pseudo-Pneumatosis intestinalis - echte Pneumatosis intestinalis
insightsimaging.springeropen.com • CC-by-2.0
Pneumatosis intestinalis bei Sklerodermie
Pneumatosis
intestinalis bei Sklerodermie
www.eurorad.org • CC by-nc-sa-4.0
Pneumatosis intestinalis bei Methotrexat
Pneumatosis
intestinalis bei Methotrexat
www.eurorad.org • CC by-nc-sa-4.0
chronische Pneumatosis intestinalis bei HIV
chronische
Pneumatosis intestinalis bei HIV
www.eurorad.org • CC by-nc-sa-4.0