{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T04:50:04Z","timestamp":1747198204778,"version":"3.40.5"},"reference-count":7,"publisher":"Walter de Gruyter GmbH","issue":"1","license":[{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,8,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec id=\"j_iss-2021-0031_abs_001\">\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>Pneumatosis intestinalis is a rare condition with subserosal or submucosal gas-filled cysts of the gastrointestinal tract. It is often associated with acute mesenteric ischemia, but also non-ischemic causes are described.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_iss-2021-0031_abs_002\">\n                  <jats:title>Case presentation<\/jats:title>\n                  <jats:p>A 27-year-old male patient with severe congenital spastic tetraparesis presented to the emergency room with fever and reduced general condition. The patient was hypotonic and tachycardic, had a fever up to 39.7\u00a0\u00b0C and reduced peripheral oxygen saturation. The laboratory analyses revealed leukocytosis (16.7\u00a0G\/L) and elevated CRP (162\u00a0mg\/L).<\/jats:p>\n                  <jats:p>The patient was admitted to the intensive care unit (ICU) for invasive ventilator treatment because of global respiratory insufficiency and antibiotic therapy due to acute pneumonia and severe acute respiratory distress syndrome (ARDS). In addition, he suffered from colonic pseudo-obstruction but with persistent stool passage. After pulmonary recovery, he was transferred to the normal ward of internal medicine, but signs of colonic pseudo-obstruction were still present.<\/jats:p>\n                  <jats:p>Under therapy with diatrizoic acid and neostigmine, the abdomen was less distended, and the patient had regular bowel movements. After four days, the patient developed sudden acute abdominal pain and suffered sudden pulseless electrical activity. Immediate cardiopulmonary resuscitation was provided. After the return of spontaneous circulation, the patient underwent computed tomography (CT) and was re-admitted to the ICU. The CT scan showed massive dilatation of the colon, including pneumatosis coli, extensive gas formation within the mesenteric veins and arteries, including massive portal gas in the liver, the splenic vein, the renal veins, and disruption of abdominal aortic perfusion. The patient was then first presented for surgical evaluation, but due to futile prognosis, treatment was ceased on the ICU.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_iss-2021-0031_abs_004\">\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>In conclusion, colonic pseudo-obstruction might have led to colonic necrosis and consecutive massive gas formation within the mesenteric vessels. Therefore, intestinal passage should be restored as soon as possible to avoid possible mortality.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1515\/iss-2021-0031","type":"journal-article","created":{"date-parts":[[2022,6,28]],"date-time":"2022-06-28T19:50:28Z","timestamp":1656445828000},"page":"31-34","source":"Crossref","is-referenced-by-count":0,"title":["Pneumatosis intestinalis with portal, mesenteric and renal gas due to colonic pseudo-obstruction"],"prefix":"10.1515","volume":"7","author":[{"given":"Eliane","family":"Dohner","sequence":"first","affiliation":[{"name":"Department of Surgery , B\u00fcrgerspital Solothurn , Solothurn , Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc","family":"von Tobel","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Intensive Care Medicine , B\u00fcrgerspital Solothurn , Solothurn , Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samuel","family":"K\u00e4ser","sequence":"additional","affiliation":[{"name":"Department of Surgery , B\u00fcrgerspital Solothurn , Solothurn , Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7129-5905","authenticated-orcid":false,"given":"Ren\u00e9","family":"Fahrner","sequence":"additional","affiliation":[{"name":"Department of Surgery , B\u00fcrgerspital Solothurn , Solothurn , Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2022,6,28]]},"reference":[{"key":"2022080412521582147_j_iss-2021-0031_ref_001","doi-asserted-by":"crossref","unstructured":"Kernagis, LY, Levine, MS, Jacobs, JE. Pneumatosis intestinalis in patients with ischemia: correlation of CT findings with viability of the bowel. AJR Am J Roentgenol 2003;180:733\u20136.","DOI":"10.2214\/ajr.180.3.1800733"},{"key":"2022080412521582147_j_iss-2021-0031_ref_002","doi-asserted-by":"crossref","unstructured":"Wiesner, W, Mortele, KJ, Glickman, JN, Ji, H, Ros, PR. Pneumatosis intestinalis and portomesenteric venous gas in intestinal ischemia: correlation of CT findings with severity of ischemia and clinical outcome. AJR Am J Roentgenol 2001;177:1319\u201323.","DOI":"10.2214\/ajr.177.6.1771319"},{"key":"2022080412521582147_j_iss-2021-0031_ref_003","doi-asserted-by":"crossref","unstructured":"Bausch, D, Hopt, UT, Obermaier, R. Of what relevance is the diagnosis of \u201cpneumatosis intestinalis\u201d and portal gas for the surgeon? Zentralblatt fur Chirurgie 2009;134:203\u20138.","DOI":"10.1055\/s-0028-1098696"},{"key":"2022080412521582147_j_iss-2021-0031_ref_004","doi-asserted-by":"crossref","unstructured":"Ogilvie, H. Large-intestine colic due to sympathetic deprivation; a new clinical syndrome. Br Med J 1948;2:671\u20133.","DOI":"10.1136\/bmj.2.4579.671"},{"key":"2022080412521582147_j_iss-2021-0031_ref_005","doi-asserted-by":"crossref","unstructured":"De Giorgio, R, Knowles, CH. Acute colonic pseudo-obstruction. Br J Surg 2009;96:229\u201339.","DOI":"10.1002\/bjs.6480"},{"key":"2022080412521582147_j_iss-2021-0031_ref_006","doi-asserted-by":"crossref","unstructured":"Robinson, AJ, Quigley, JP, Banks, A, Farmer, M. Ogilvie\u2019s syndrome treated with an emergency laparotomy, right hemicolectomy and end ileostomy. BMJ Case Rep 2017;2017.","DOI":"10.1136\/bcr-2017-220916"},{"key":"2022080412521582147_j_iss-2021-0031_ref_007","unstructured":"Conner, S, Nassereddin, A, Mitchell, C. Ogilvie syndrome. Treasure Island (FL): StatPearls; 2021."}],"container-title":["Innovative Surgical Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.1515\/iss-2021-0031\/xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.1515\/iss-2021-0031\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,8,4]],"date-time":"2022-08-04T12:52:55Z","timestamp":1659617575000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.1515\/iss-2021-0031\/html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,1]]},"references-count":7,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2022,6,23]]},"published-print":{"date-parts":[[2022,8,5]]}},"alternative-id":["10.1515\/iss-2021-0031"],"URL":"https:\/\/doi.org\/10.1515\/iss-2021-0031","relation":{},"ISSN":["2364-7485"],"issn-type":[{"type":"electronic","value":"2364-7485"}],"subject":[],"published":{"date-parts":[[2022,3,1]]}}}