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Extensive colonic pneumatosis in a patient on adjuvant chemotherapy after right colectomy for primary terminal ileum lymphoma: A decision-making process between surgical and non-surgical management

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Highlights • Pneumatosis intestinalis can be benign or life-threatening.• Life-threatening causes are bowel obstruction, perforation, ischemia and severe colitis.• Differential diagnosis between life-threatening and benign pneumatosis intestinalis is difficult.• Early… Click to show full abstract

Highlights • Pneumatosis intestinalis can be benign or life-threatening.• Life-threatening causes are bowel obstruction, perforation, ischemia and severe colitis.• Differential diagnosis between life-threatening and benign pneumatosis intestinalis is difficult.• Early severity recognition is critical as it would dictate surgical or conservative management.• Surgery is needed when worrisome clinical, laboratory and imaging findings are present.

Keywords: pneumatosis patient; life threatening; management; colonic pneumatosis; pneumatosis; extensive colonic

Journal Title: International Journal of Surgery Case Reports
Year Published: 2018

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