title: An approach to pneumatosis intestinalis: Factors affecting your management.
abstract: Pneumatosis Intestinalis (PI) is defined as the presence of extra-luminal gas confined to the bowel wall. PI is an ominous condition often requiring emergent surgery. The management can be challenging in some circumstances, as the choice of surgery versus medical treatment can be difficult. In this study, we first report the case of a seventy-seven year old woman presenting to the emergency department with the presence of PI on computed tomography of the abdomen. Secondly, we review the existing literature regarding the management of PI and we suggest a treatment algorithm based on clinical, laboratory and radiological findings.
authors.affiliation: Saint Mary's Hospital, Division of General Surgery, McGill University, Montreal, Quebec, Canada; Lady Davis Institute for Medical Research, Jewish General Hospital, Canada. Electronic address: mehdi.tahirihassani@mail.mcgill.ca.
authors.forename: Mehdi
authors.initials: M
authors.lastname: Tahiri
authors.affiliation: Saint Mary's Hospital, Division of General Surgery, McGill University, Montreal, Quebec, Canada.
authors.forename: Jordan
authors.initials: J
authors.lastname: Levy
authors.affiliation: Saint Mary's Hospital, Division of General Surgery, McGill University, Montreal, Quebec, Canada.
authors.forename: Saud
authors.initials: S
authors.lastname: Alzaid
authors.affiliation: Saint Mary's Hospital, Division of General Surgery, McGill University, Montreal, Quebec, Canada.
authors.forename: Dawn
authors.initials: D
authors.lastname: Anderson
keywords: Algorithm; Management; Pneumatosis intestinalis; Treatment