[An unusual cause of an "intramural" gas collection in the right colon (author's transl)].
A case of subserous gas collection in the right colon following surgical repair of an iatrogenic uterus perforation is presented. The patient showed an ileus-like roentgen symptomatology when ischemic necrosis of the bowel was suspected. Laparatomy demonstrated the remainder of the gas collection in the area of the right pelvis extending retroperitoneally towards the right colon, thus presenting intramural pneumatosis. Therefore the differential diagnosis of intramural gas collection as a sign of ischemic bowel necrosis has to include the harmless subserous pneumatosis following abdominal trauma (especially iatrogenic uterus perforation).
D000007:Abdominal Injuries / Q000150:complications; D000328:Adult; D003108:Colonic Diseases / Q000000981:diagnostic imaging*; D003475:Curettage / Q000009:adverse effects; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging; D007420:Intestine, Large / Q000098:blood supply; D007511:Ischemia / Q000175:diagnosis; D009336:Necrosis; D011006:Pneumatosis Cystoides Intestinalis / Q000000981:diagnostic imaging*; D011247:Pregnancy; D011859:Radiography; D014595:Uterine Perforation / Q000601:surgery; D014599:Uterus / Q000293:injuries
Seltene Ursache einer "intramuralen" Gasanasammlung im rechten Colon