title: Benign pneumatosis intestinalis after bilateral lung transplantation.
abstract: This series details two cases of benign pneumatosis intestinalis (PI) in patients post-lung transplant, which were discovered incidentally on routine surveillance chest radiographs during ambulatory clinic visits. Both patients had uneventful post-transplant recovery and were asymptomatic at presentation. The patients were admitted for observation. Contrast-enhanced abdominal CT scans confirmed the plain film findings. Both cases were managed conservatively with bowel rest, intravenous hydration and serial abdominal examinations. The patients had unremarkable hospital courses and were both discharged in good condition. Our current understanding of benign PI in patients post-transplant is limited to a few case series and case reports. Greater awareness of this entity may decrease unnecessary invasive procedures and improve management of these patients.
authors.affiliation: The University of Texas Health Science Center at San Antonio School of Medicine, San Antonio, Texas, USA.
authors.forename: Florence Y
authors.identifier: http://orcid.org/0000-0003-2390-3395
authors.initials: FY
authors.lastname: Ling
authors.affiliation: Department of Radiology, The University of Texas Health Science Center at San Antonio School of Medicine, San Antonio, Texas, USA.
authors.forename: Abdul Mueed
authors.initials: AM
authors.lastname: Zafar
authors.affiliation: Deparment of Pulmonary and Critical Care Medicine, The University of Texas Health Science Center at San Antonio School of Medicine, San Antonio, Texas, USA.
authors.forename: Luis F
authors.initials: LF
authors.lastname: Angel
authors.affiliation: Department of Radiology, The University of Texas Health Science Center at San Antonio School of Medicine, San Antonio, Texas, USA.
authors.forename: Amy L
authors.initials: AL
authors.lastname: Mumbower
mesh_terms: D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007422:Intestines / Q000000981:diagnostic imaging / Q000473:pathology; D016040:Lung Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D011006:Pneumatosis Cystoides Intestinalis / Q000175:diagnosis* / Q000209:etiology* / Q000473:pathology; D011027:Pneumoperitoneum / Q000175:diagnosis; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome