Year 2021 / Volume 113 / Number 11
Letter
Pneumatosis intestinalis in anorexia nervosa

797

DOI: 10.17235/reed.2021.8013/2021

Paloma Rodríguez Vielba, Carlos Martín Lorenzo, Emilio González Pablos,

Abstract
We have read the article by Pérez-Santiago L et al. on the conservative or surgical management of pneumatosis intestinalis (PI). Recently we saw a case of a 18-year-old female diagnosed with anorexia nervosa who presented due to general malaise, asthenia, and inability to walk following an episode of abdominal pain, vomiting and diarrhea (10-15 stools daily, some of them bloody). Physical examination revealed signs of malnutrition and dehydration, and a distended, tender abdomen with no signs of peritoneal irritation. Laboratory chemistry tests revealed macrocytic anemia and metabolic alkalosis. An abdominal CT scan showed pancolonic pneumatosis, with greater involvement of the cecum, ascending and transverse colon, as well as pneumoperitoneum and gas in branches of the superior mesenteric and portal veins.
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References
1. Pérez Santiago L, Gadea Mateo R, Alfonso Ballester R. Extensive colonic pneumatosis. Conservative or Surgical approach? Rev Esp Enferm Dig 2020;112(8):661. DOI: 10.17235/reed.2020.6825/2019
2. St Peter SD, Abbas MA, Kelly KA. The spectrum of pneumatosis intestinalis. Arch Surg 2003;138(1):68-75. DOI: 10.1001/archsurg.138.1.68
3. García X, Soler L, Amer M, et al. Twenty one year old male with cachexia and presence of abundant amount of intraabdominal gas. Rev Clin Esp 2006;206(7):355-6. DOI: 10.1157/13090486
4. Arenal JJ, Said A, Tinoco C, et al. Colonic pneumatosis intestinalis in a patient with neutropenia secondary to anorexia nervosa. Rev Esp Enferm Dig 2011;103(7):391-2. DOI: 10.4321/s1130-01082011000700017
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Rodríguez Vielba P, Martín Lorenzo C, González Pablos E. Pneumatosis intestinalis in anorexia nervosa. 8013/2021


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Publication history

Received: 31/03/2021

Accepted: 29/05/2021

Online First: 22/06/2021

Published: 05/11/2021

Article revision time: 21 days

Article Online First time: 83 days

Article editing time: 219 days


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