title: Pneumatosis intestinalis: not always a surgical indication.
abstract: We present a case of pneumatosis intestinalis (PI) of the colon in the setting of inflammatory bowel disease that was treated with medical management rather than emergent surgery. While the reflex response to extraluminal air in the abdomen is abdominal exploration, consideration of the clinical context in which PI is discovered and an understanding of a complete differential diagnosis of the sources of PI is critical to avoiding unnecessary surgery.
authors.affiliation: Department of Surgery, Duke University Medical Center, Durham, NC 27710, USA.
authors.forename: Haijing
authors.initials: H
authors.lastname: Zhang
authors.forename: Stephanie L
authors.initials: SL
authors.lastname: Jun
authors.forename: Todd V
authors.initials: TV
authors.lastname: Brennan