Not all small bowel pneumatosis is ischaemia: a case-based systematic review of non-ischaemic causes

20260 citationsJournal Articlehybrid Open Access

Authors

Siji Olusola · Royal Free London NHS Foundation Trust

M. Choudhry · Whittington Health NHS Trust

Vandana Panem · Whittington Health NHS Trust

Jonathan Wilson · Whittington Health NHS Trust

Salman Rana · Whittington Health NHS Trust

C. Parmar · Whittington Health NHS Trust

Manikandan Kathirvel

Abstract

Not all small bowel pneumatosis indicates ischaemia. Conservative management can be effective in carefully selected patients, guided by clinical status and serial imaging. Early recognition of non-ischaemic PI is crucial to avoid unnecessary laparotomy.

Topics & Keywords

Abdominal vascular conditions and treatments Gastrointestinal Bleeding Diagnosis and Treatment Pneumothorax, Barotrauma, Emphysema

UN Sustainable Development Goals

Good health and well-being

Publication Details

Published in: Annals of The Royal College of Surgeons of England

DOI: 10.1308/rcsann.2026.0011

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