Nihon University Diagnostic Radiology
Nihon University
Diagnostic Radiology

Author of 1 Presentation

Acute Abdomen Poster presentation - Scientific

SE-008 - The relationship between the clinical outcomes and the clinical and radiological findings in patients with pneumatosis intestinalis.

Abstract

Purpose

To clarify the relationship between the clinical outcomes and the clinical and radiological findings in patients with pneumatosis intestinalis.

Material and methods

We retrospectively reviewed the 40 patients (21 men and 19 women, mean age 70) with pneumatosis intestinalis observed on the contrast enhanced CT scans. The clinical outcomes are classified as (1) L type: the patients who were treated by conservative support and cured and (2) D type: the patients who needed bowel resection or were deceased. The clinical factors included (1) sex and (2) the presence of the shock state. The CT findings included (A) the location of the pneumatosis intestinalis such as (1) small intestine, (2) large intestine, and (B) the presence of the (3) intraabdominal free air, (4) intrahepatic portal venous gas, (5) ischemic change of the intestine, and (6) ileus. The Spearman rank correlation coefficient was measured for the clinical outcomes and all of factors mentioned above. The level of significance was set to 1 %.

Results

The correlation coefficient (cc) between the clinical outcomes (L or D types) and the following factors was statistically significant; the ischemic change of the intestine (cc=0.645), ileus (cc=0.573), shock (cc=0.542), small intestine involvement (cc=0.483), and intrahepatic portal vein gas (cc=0.332).

Conclusion

The presence of the intestinal ischemic change, ileus, the small intestine involvement, and the intrahepatic portal vein gas was correlated to the patient’s clinical outcomes.

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Presenter of 1 Presentation

Acute Abdomen Poster presentation - Scientific

SE-008 - The relationship between the clinical outcomes and the clinical and radiological findings in patients with pneumatosis intestinalis.

Abstract

Purpose

To clarify the relationship between the clinical outcomes and the clinical and radiological findings in patients with pneumatosis intestinalis.

Material and methods

We retrospectively reviewed the 40 patients (21 men and 19 women, mean age 70) with pneumatosis intestinalis observed on the contrast enhanced CT scans. The clinical outcomes are classified as (1) L type: the patients who were treated by conservative support and cured and (2) D type: the patients who needed bowel resection or were deceased. The clinical factors included (1) sex and (2) the presence of the shock state. The CT findings included (A) the location of the pneumatosis intestinalis such as (1) small intestine, (2) large intestine, and (B) the presence of the (3) intraabdominal free air, (4) intrahepatic portal venous gas, (5) ischemic change of the intestine, and (6) ileus. The Spearman rank correlation coefficient was measured for the clinical outcomes and all of factors mentioned above. The level of significance was set to 1 %.

Results

The correlation coefficient (cc) between the clinical outcomes (L or D types) and the following factors was statistically significant; the ischemic change of the intestine (cc=0.645), ileus (cc=0.573), shock (cc=0.542), small intestine involvement (cc=0.483), and intrahepatic portal vein gas (cc=0.332).

Conclusion

The presence of the intestinal ischemic change, ileus, the small intestine involvement, and the intrahepatic portal vein gas was correlated to the patient’s clinical outcomes.

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