Preprint Case Report Version 1 Preserved in Portico This version is not peer-reviewed

Pneumatosis Intestinalis Concurrent with Superior Mesenteric Artery Thrombosis: A Case Report

Version 1 : Received: 20 November 2023 / Approved: 21 November 2023 / Online: 21 November 2023 (13:43:57 CET)

How to cite: Doshi, P.; Teraiya, T.; Gami, V.; Shah, S.; Desai, D. Pneumatosis Intestinalis Concurrent with Superior Mesenteric Artery Thrombosis: A Case Report. Preprints 2023, 2023111336. https://doi.org/10.20944/preprints202311.1336.v1 Doshi, P.; Teraiya, T.; Gami, V.; Shah, S.; Desai, D. Pneumatosis Intestinalis Concurrent with Superior Mesenteric Artery Thrombosis: A Case Report. Preprints 2023, 2023111336. https://doi.org/10.20944/preprints202311.1336.v1

Abstract

Pneumatosis intestinalis is the presence of air within the two layers of the wall of the gastrointestinal tract, specifically in the small and large intestines. This accumulation of gas can cause thicker walls of the intestines in X-ray or CT scans. Superior Mesenteric Artery (SMA) Thrombosis occurs due to the formation of blood clots within the SMA. As it supplies from the ampulla in the second part of the duodenum to the splenic flexure of the large intestine its thrombosis can cause ischemia in any part depending upon its branch. A 67-year-old male patient presented to the hospital with the complaint of generalized abdominal pain for 5 days along with fever, nausea, vomiting, obstipation, and postprandial fullness. On further investigation with the help of an MDCT scan and X-ray, proximal jejunal loops showed circumferential air within the walls giving the diagnosis of Pneumatosis Intestinalis along with Superior Mesenteric Artery Thrombosis causing jejunal infarct.

Keywords

Pneumatosis intestinalis; Thrombosis; CT Scan; Atherosclerosis; Ischemia

Subject

Medicine and Pharmacology, Gastroenterology and Hepatology

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