Digestive Diseases and Sciences

, Volume 37, Issue 6, pp 813–817

Pneumatosis intestinalis in patients with Crohn's disease

  • Alex John
  • Kevin Dickey
  • James Fenwick
  • Betsy Sussman
  • Warren Beeken
Original Articles

DOI: 10.1007/BF01300377

Cite this article as:
John, A., Dickey, K., Fenwick, J. et al. Digest Dis Sci (1992) 37: 813. doi:10.1007/BF01300377

Abstract

The prevalence, predictors, and significance of pneumatosis were determined in 50 patients with Crohn's disease who had abdominal CT scans to rule out abscess. The presence or absence of six CT descriptors and 17 clinical descriptors was documented. CT scans of a control group of 50 subjects without inflammatory bowel disease were also examined. Data was analyzed by two-sample t tests and Fisher's exact test. Pneumatosis was found in six of 50 patients with Crohn's disease and in none of the controls. Corticosteroid treatment was the single clinical variable relating significantly (P=0.025) to pneumatosis, although trends toward absence of resection, short duration of illness, and more severe anemia were also evident in this group. This study suggests that the presence of pneumatosis alone does not dictate a specific course of treatment, but when pneumatosis is present, careful monitoring is required and therapy is based on the overall clinical picture.

Key words

pneumatosisCrohn's diseaseCT scan

Copyright information

© Plenum Publishing Corporation 1992

Authors and Affiliations

  • Alex John
    • 1
  • Kevin Dickey
    • 1
  • James Fenwick
    • 1
  • Betsy Sussman
    • 1
  • Warren Beeken
    • 1
  1. 1.Departments of Medicine Radiology and BiostatisticsUniversity of VermontBurlington