Secondary pneumatosis intestinalis is a disorder of small bowel or large bowel in which there is submucosal accumalation of gas pockets with causes that range from benign to life threatening CAUSES life threatening causes include Necrotizing Enerocolitis in infants, and mesenteric vascular disease in adults benign causes include increased intraluminal pressure – such as in COPD which can cause subserosal gas CLINICAL Symptoms may be minimal in patients receiving steroids, immunosuppressive agents or chemotherapy even in the presence of bowel necrosis. |
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