ArticleEuropean radiology2017
Clinical significance of pneumatosis intestinalis - correlation of MDCT-findings with treatment and outcome.
Article in European radiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
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Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.
- Radiological diagnosis of acute mesenteric ischemia in adult patients: a systematic review and meta-analysis.Scientific reports · 2025Pooled it
- Clinical and CT features of patients with pneumatosis intestinalis: A retrospective single-center study.Medicine · 2026Article
- Pneumatosis intestinalis revisited: associated imaging findings, clinical correlation, management, risk stratification and future perspectives.Emergency radiology · 2026Review
- Virtual monochromatic versus conventional polychromatic CT images in patients with acute bowel ischaemia.European radiology · 2026Article
- Pneumatosis Cystoides Intestinalis Mimicking Perforation in a Patient With Gastric Signet Ring Cell Carcinoma: A Case Report.Clinical case reports · 2026Article
- Mesenteric pneumatosis on CT: a predictor of benign pneumatosis intestinalis.Abdominal radiology (New York) · 2026Article
- Computed tomography findings and surgical outcomes in acute mesenteric ischemia: a retrospective single-center cohort study.Frontiers in surgery · 2026Article
- Pneumatosis Intestinalis Secondary to Appendicitis: What Do We Know?Digestive diseases and sciences · 2025Review
- Combining clinical and radiological features improves prediction of bowel ischemia in patients with CT findings of pneumatosis intestinalis.Abdominal radiology (New York) · 2025Article
- Incidental pneumatosis intestinalis in a patient with chronic kidney disease: a case report.Journal of surgical case reports · 2025Article
- Association of Pneumatosis Intestinalis With Surgical Outcomes and Mortality: A Matched, Retrospective Cohort Study and Literature Review.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2024Article
- Article
- The Challenge of Pneumatosis Intestinalis: A Contemporary Systematic Review.Journal of personalized medicine · 2024Review
- Understanding the Nuances of Hepatic Portal Venous Gas in Pneumatosis Intestinalis: An Indication of Bowel Ischemia?Cureus · 2023Article
- MDCT-findings in patients with non-occlusive mesenteric ischemia (NOMI): influence of vasoconstrictor agents.European radiology · 2023Article
- The spectrum of pneumatosis intestinalis in the adult. A surgical dilemma.World journal of gastrointestinal surgery · 2023Review
- Food protein-induced enterocolitis syndrome with pneumatosis intestinalis in an exclusively breastfed infant: A case report and literature review.Clinical case reports · 2022Article
- Prognostic factors in patients with acute mesenteric ischemia-novel tools for determining patient outcomes.Surgical endoscopy · 2022Article
- Oesophageal pneumatosis: computed tomographic characteristics in three dogs (2018-2021).Veterinary medicine and science · 2022Article
- Acute abdomen with gastric volvulus revealing an underlying pneumatosis cystoides intestinalis: a case report.BMC surgery · 2022Article
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo evaluate the clinical significance of pneumatosis intestinalis (PI) including the influence on treatment and outcome. METHOD AND MATERIALS: Two radiologists jointly reviewed MDCT-examinations of 149 consecutive emergency patients (53 women, mean age 64, range 21-95) with PI of the stomach (n = 4), small (n = 68) and/or large bowel (n = 96). PI extension, distribution and possibly associated porto-mesenteric venous gas (PMVG) were correlated with other MDCT-findings, risk factors, clinical management, laboratory, histopathology, final diagnosis and outcome.
resultsThe most frequent cause of PI was intestinal ischemia (n = 80,53.7 %), followed by infection (n = 18,12.1 %), obstructive (n = 12,8.1 %) and non-obstructive (n = 10,6.7 %) bowel dilatation, unknown aetiologies (n = 8,5.4 %), drugs (n = 8,5.4 %), inflammation (n = 7,4.7 %), and others (n = 6,4 %). Neither PI distribution nor extension significantly correlated with underlying ischemia. Overall mortality was 41.6 % (n = 62), mostly related to intestinal ischemia (p = 0.003). Associated PMVG significantly correlated with underlying ischemia (p = 0.009), as did the anatomical distribution of PMVG (p = 0.015). Decreased mural contrast-enhancement was the only other MDCT-feature significantly associated with ischemia (p p < 0.001). Elevated white blood count significantly correlated with ischemia (p = 0.03).
conclusionIn emergency patients, ischemia remains the most common aetiology of PI, showing the highest mortality. PI with associated PMVG is an alerting sign. PI together with decreased mural contrast-enhancement indicates underlying ischemia. KEY POINTS: • In emergency patients, PI may be caused by various disorders. • Intestinal ischemia remains the most common cause of PI in acute situations. • PI associated with decreased mural contrast-enhancement indicates acute intestinal ischemia. • PI associated with PMVG should alert the radiologist to possible underlying ischemia.
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