Postoperative pneumatosis intestinalis (PI) and portal venous gas (PVG) may indicate bowel necrosis: a 52-case study

Table 4 Patients with postoperative pneumatosis intestinalis (PI)/portal venous gas (PVG)

Bowel necrosis	Sex	Age (y)	PI/PVG	Preoperative diagnosis	Initial surgery	Time to postoperative PI/PVG (days)	Postoperative diagnosis	Postoperative treatment	Outcome
Yes	Male	20	PI	Appendicitis	Appendectomy	7	Postoperative abscess	Open abdominal drainage	Alive
Yes	Female	84	PI/PVG	Sigmoid colon cancer	Sigmoidectomy	3	NOMI	Exploratory laparotomy	Dead
Yes	Male	67	PI/PVG	Perforated appendicitis	Intraperitoneal irrigation and drainage	1	Perforated appendicitis	Intraperitoneal irrigation & drainage	Dead
Yes	Female	48	PI	Metastases of uterine cancer, obstructive ileus	Radical hysterectomy + partial small bowel resection	24	Obstructive ileus	Observation + antibiotic therapy	Dead
Yes	Female	56	PI	Sigmoid colon cancer	Sigmoidectomy	3	Anastomotic breakdown	Hartmann’s operation + construction of artificial anus	Alive
Yes	Male	74	PI/PVG	Esophageal cancer	Subtotal esophagectomy	6	Toxic megacolon	Observation + antibiotic therapy	Dead
Yes	Female	55	PI	Uterine cancer	Total hysterectomy	16	Strangulated ileus	Ileus surgery + partial small bowel resection	Alive
Yes	Male	55	PVG	Pancreatic head cancer	Pancreaticoduodenectomy	15	Postoperative pancreatic fistula	Observation + antibiotic therapy	Dead
No	Male	82	PVG	AAA	Aortic replacement	1	NOMI suspicion	Observation + antibiotic therapy	Alive

ISSN: 1471-2482