Intramural gas: would it be Life-threatening? (answer)

Aishath Azna Ali and Syamim Johan and Firdaus Hayati and Ng, Chiak Yot (2020) Intramural gas: would it be Life-threatening? (answer). Borneo Journal of Medical Sciences, 14 (3). pp. 63-64. ISSN 2636-9826

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The CECT scan of the abdomen at axial and coronal views show gas bubbles tracking along the inner wall of the ascending colon and hepatic flexure, which is separated from the intraluminal gas within the bowel. These intramural gas bubbles appear to be outlining the bowel wall circumferentially. The bowel wall appears to be thickened however the inner mucosa is not enhanced. There are no ascites in the images provided. The colon of the hepatic flexure and transverse colon appears dilated. No significant atherosclerotic plaque in the visualised arteries. Based on the clinical presentations and CECT features in Figure 1 and Figure 2, the best diagnosis for him is benign pneumatosis intestinalis (PI) secondary to obstructed low rectal cancer. He was subjected for a trephine transverse colostomy to relieve the obstruction with simultaneous transanal rectal mass biopsy. Once the histology is available, he subsequently will be referred for concurrent chemo-radiotherapy as neoadjuvant treatment and later for a low anterior resection, provided that it is a localized disease.

Item Type: Article
Keyword: Intramural gas , Life-threatening , Abdomen
Subjects: Q Science > QM Human anatomy
R Medicine > R Medicine (General)
Department: FACULTY > Faculty of Medicine and Health Sciences
Depositing User: DG MASNIAH AHMAD -
Date Deposited: 27 May 2021 11:19
Last Modified: 27 May 2021 16:06

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