Open AccessPrednisolone induced pneumatosis coli and pneumoperitoneum
Author(s) -
Serene Si Ning Goh,
Vishal G Shelat
Publication year - 2022
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v28.i28.3739
Subject(s) - pneumatosis intestinalis , medicine , pneumoperitoneum , prednisolone , laparotomy , asymptomatic , pneumatosis cystoides intestinalis , gastroenterology , ischemia , abdomen , surgery , laparoscopy
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.