Pneumatosis intestinalis after adult living donor liver transplantation : report of three cases and collective literature review :report of three cases and collective literature review

Cheon-Soo Park; Shin Hwang; Dong-Hwan Jung; Gi-Won Song; Deok-Bog Moon; Chul-Soo Ahn; Gil-Chun Park; Ki-Hun Kim; Tae-Yong Ha; Sung-Gyu Lee

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저자정보: Cheon-Soo Park (University of Ulsan College of Medicine) Shin Hwang (University of Ulsan College of Medicine) Dong-Hwan Jung (University of Ulsan College of Medicine) Gi-Won Song (University of Ulsan College of Medicine) Deok-Bog Moon (University of Ulsan College of Medicine) Chul-Soo Ahn (University of Ulsan College of Medicine) Gil-Chun Park (University of Ulsan College of Medicine) Ki-Hun Kim (University of Ulsan College of Medicine) Tae-Yong Ha (University of Ulsan College of Medicine) Sung-Gyu Lee (University of Ulsan College of Medicine)

저널정보: 한국간담췌외과학회 Annals of Hepato-Biliary-Pancreatic Surgery 한국간담췌외과학회지 제19권 제1호

발행연도: 2015.2

수록면: 25 - 29 (5page)

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Backgrounds/Aims: Pneumatosis intestinalis (PI) is a condition in which multiple gas-filled mural cysts develop in the gastrointestinal tract. Although its exact etiology remains obscure, PI is rarely observed in liver transplant (LT) recipients. Methods: In 317 cases of adult living donor LT (LDLT) performed during 2011, PI developed in three patients during the 3 year follow-up. Results: Of these three patients, the two who demonstrated PI at 6 weeks and 2 months after LT, respectively, were asymptomatic and showed no signs of secondary complications. Diagnosis was made incidentally using abdominal radiographs and computed tomography (CT) scans. PI was identified in the right ascending colon with concomitant pneumoperitoneum. These two patients received supportive care and maintained a regular diet. Follow-up CT scans demonstrated spontaneous resolution of PI with no complications. The third patient was admitted to the emergency room 30 months after LDLT. His symptoms included poor oral intake and intermittent abdominal pain with no passage of gas. Abdominal radiography and CT scans demonstrated PI in the entire small bowel, with small bowel dilatation, pneumoperitoneum, and pneumoretroperitoneum, but no peritonitis. Physical examination revealed abdominal distension but no tenderness or rebound tenderness. After 1 week of conservative treatment, including bowel rest and antibiotics therapy, PI and pneumoperitoneum resolved spontaneously without complications. Conclusions: We suggest that adult LDLT recipients who develop asymptomatic or symptomatic PI with no signs of secondary complications can be successfully managed with conservative treatment.

#Pneumatosis intestinalis #Living donor liver transplantation #Pneumoperitoneum

참고문헌 (1)

참고문헌 신청

金正雄, 金承完. Pneumatosis Cystoides Intestinalis 1例. Annals of Surgical Treatment and Research. 1974

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Cheon-Soo PARK

소속기관 가톨릭대학교

주요연구분야 의약학 > 임상의학 > 일반 외과학

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Shin Hwang