کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4288495 1612091 2016 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Pneumatosis intestinalis due to gastrointestinal amyloidosis: A case report & review of literature
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
پیش نمایش صفحه اول مقاله
Pneumatosis intestinalis due to gastrointestinal amyloidosis: A case report & review of literature
چکیده انگلیسی


• Pneumatosis intestinalis is a poorly understood phenomenon with a multitude of causes.
• It may mimic other gastrointestinal conditions ranging from benign to life threatening ones.
• A high index of suspicion is required to reach the correct diagnosis in order to provide optimal care for the patient.
• G.I amyloidosis is among the rare causes for secondary pneumatosis intestinalis.

IntroductionPneumatosis intestinalis (PI) is not a disease but a radiological finding with a poorly understood pathogenesis. It can be divided into primary/idiopathic (15%) or secondary (85%) Kim et al. 2007, based on the factors thought to play a role in its development. Amongst the rare causes of secondary PI is gastrointestinal (GI) amyloidosis.Presentation of the caseWe report a case of a 46-year-old gentleman who presented with a one month history of acute on chronic abdominal pain, associated with one episode of melena. Upon further investigation, he was found to have pneumoperitoneum. He was taken to the operating theatre, where he was noted to have features of pneumatosis intestinalis of the small bowel with no evidence of bowel perforation. Postoperatively, he underwent an upper GI endoscopy with biopsies that revealed GI amyloidosis.DiscussionOne of the rare causes that can lead to secondary PI is GI amyloidosis as proven in our case. Patients with symptomatic gastrointestinal amyloidosis usually present with one of four syndromes: gastrointestinal bleeding, malabsorption, protein-losing gastroenteropathy, and, less often, gastrointestinal dysmotility.ConclusionGI amyloidosis is a rare cause of secondary pneumatosis intestinalis. The presentation of the disease varies from patient to patient, therefore, the management should be tailored accordingly.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Surgery Case Reports - Volume 23, 2016, Pages 29–32
نویسندگان
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