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Sony Sutrisno
INTRODUCTION
• Postsurgical anastomoses or
endoscopy
• Organ transplantation
INTRODUCTION
CT imaging findings
• Bowel dilatation
• Arterial occlusion
• Ascites
• Patients who did not meet the criteria for benign PI and were
suspected of having underlying disease but without definitive
diagnosis were considered in a subgroup of clinically worrisome
PI, labeled suspected rather than definitive
CT EXAMINATION TECHNIQUE
• Low-dose technique
• Enteric contrast
CT IMAGE EVALUATION
Categorized
• Small-bowel obstruction
RESULTS
RESULTS
• Immunosuppression in 24 patients
• Benign PI in 15 patients
• Definitive n 26
• Extent of PI
• Since the clinically worrisome causes of PI are related to either ischemia or inflammation
• Postsurgical status
• Neurologic impairment
• In this study portal venous gas in both benign and clinically worrisome
DISCUSSION
• One of the final conclusions of the McCarville et al study (13) was that male
children may be at increased risk of benign PI
• Extent of PI
• The presence of free intraperitoneal air or portal venous gas does not necessarily
imply a clinically worrisome cause of PI
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