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Is surgical exploration necessary in asymptomatic intestinal pneumatosis after lung transplantation?
  1. Julie Van Den Bosch,
  2. Pieter Broos and
  3. Guy Vijgen
  1. Surgery, Zuyderland Medical Centre Heerlen, Heerlen, Netherlands
  1. Correspondence to Dr Julie Van Den Bosch; julie.vandenbosch.11{at}


Pneumatosis intestinalis is described as gas within the bowel wall and can be a sign of bowel ischaemia with a pending perforation. The described patient presented with the incidental diagnosis of pneumatosis intestinalis with free intraperitoneal gas on CT scan. His medical history included a successful lung transplantation. We here describe the clinical decision-making and evaluate our case with previous cases in the literature.

  • drug therapy related to surgery
  • respiratory system
  • unwanted effects / adverse reactions
  • gastrointestinal surgery

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  • Contributors JVDB helped with initial patient contact, was involved in research, and helped with writing and submission. PB was the operating surgery assistant and was involved in correction of drafts. GV was the operating surgeon and supervisor of article and was involved in correction of drafts and patient follow-up.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.