Benign pneumatosis intestinalis after bilateral lung transplantation
Benign pneumatosis intestinalis after bilateral lung transplantation
复制标题
双肺移植后良性肠积气
DOI：
10.1136/bcr-2015-210701
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发表时间：
2015
期刊：
影响因子：
0.9
通讯作者：
Amy L Mumbower
中科院分区：
文献类型：
--
作者：
Florence Y Ling;A. Zafar;L. Angel;Amy L Mumbower
本文详细介绍了两例肺移植后患者的良性肠性肺肿（PI），这是在门诊就诊时偶然发现的常规监测胸片。两例患者移植后恢复平稳，入院时无症状。患者入院观察。腹部CT增强扫描证实平片表现。两例患者均行保守治疗，包括肠道休息、静脉补水和连续腹部检查。这两名患者的住院病程一般，出院时情况良好。我们目前对移植后患者良性PI的了解仅限于少数病例系列和病例报告。提高对这种实体的认识可以减少不必要的侵入性手术并改善对这些患者的管理。
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.