Journal of Hong Kong College of Radiologists

Volume 5 Number 2, 2002

Luminal Gas Mimicking Pneumatosis Intestinalis: A Cautionary Tale

WC Torreggiani, ID Lyburn, AC Harris, PL Munk
Department of Radiology, Vancouver General Hospital, University of British Columbia, Vancouver, Canada

We report the case of a patient with partial small bowel obstruction who underwent laparotomy for possible bowel ischaemia, after imaging studies suggested pneumatosis intestinalis. At surgery, the patient was shown to have small bowel obstruction due to inspissated feeds. This paper outlines the diagnostic difficulties in this case and illustrates differentiating features of pneumatosis intestinalis on computed tomography imaging as a guide for radiologists. (J HK Coll Radiol 2002;5:114-116)

Key Words: Computed tomography, Intestinal obstruction, Pneumatosis cystoides intestinalis

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