caa a22 4500 475756452 CHVBK 20180406123539.0 cr unu---uuuuu 170329e20001001xx s 000 0 eng 10.1007/s002470000303 doi (NATIONALLICENCE)springer-10.1007/s002470000303 Benign pneumatosis in children [Elektronische Daten] [L. Z. Fenton, C. Buonomo] Background. In pediatrics, pneumatosis intestinalis (PI) is usually due to necrotizing enterocolitis in premature newborns. Beyond infancy, PI is uncommon. "Benign pneumatosis” is PI in patients with few or no symptoms that resolves with conservative management.¶Objective. Our goal was to better characterize benign PI in children. Our investigation focused on identifying underlying risk factors, symptoms at time of diagnosis, management and outcome.¶Materials and methods. Available medical records and radiographs of children with pneumatosis intestinalis from 1990 to 1998 were reviewed for underlying conditions, symptoms at time of radiographs, management and outcome.¶Results. Thirty-seven children (mean age 4 years) were included. Thirty-two children had identifiable risk factors. Twenty -five children were immunocompromised by their underlying conditions or therapeutic regimen. Thirty-five children were managed conservatively with resolution of PI. Two patients, however, required surgery and one patient died.¶Conclusion. Benign pneumatosis does occur in children. The majority have underlying risk factors, most commonly related to immunosuppression. Clinical deterioration is the most useful indicator for surgical intervention. In most patients PI resolves with conservative management. Springer-Verlag Berlin Heidelberg, 2000 Fenton L. Z. Department of Radiology, Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA e-mail: fenton.laura@tchden.org Tel.: + 1-3 03-8 61 65 41 Fax: + 1-3 03-7 64 86 69, US aut Buonomo C. Department of Radiology, Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA e-mail: fenton.laura@tchden.org Tel.: + 1-3 03-8 61 65 41 Fax: + 1-3 03-7 64 86 69, US aut https://doi.org/10.1007/s002470000303 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002470000303 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Fenton L. Z. Department of Radiology, Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA e-mail: fenton.laura@tchden.org Tel.: + 1-3 03-8 61 65 41 Fax: + 1-3 03-7 64 86 69, US aut NATIONALLICENCE 700 1- Buonomo C. Department of Radiology, Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA e-mail: fenton.laura@tchden.org Tel.: + 1-3 03-8 61 65 41 Fax: + 1-3 03-7 64 86 69, US aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer