F 1 Obtained. All authors report no conflict of interest. www.actamedicaportuguesa.com Figure 1 – scan: CT of the ascending colon (arrows); appendicolith (arrowhead) PATIENT CONSENT PATIENT CONFLICTS OF INTEREST 676 - - It 1 , José ESTEVÃO-COSTA 1 https://doi.org/10.20344/amp.10129 , Maria GARCIA 1 As our case illustrates, pneu illustrates, case our As 2 Revista Científica da Ordem dos Médicos post-operative day and is doing well. th Apendicite; Pneumatose Cistoide Intestinal Apendicite; Pai HJ, Wang CS, Hsieh CC, Wang WK, Yang BY. Pneumatosis intestinalis: a rare manifestation of acute . J Emerg Med. 2009;37:127–30. BY. Yang WK, CS, Hsieh CC, Wang Pai HJ, Wang C, Hunter Vendryes CJ, Harlan SR, Ford HR, Stein J, Pierce JR. Pneumatosis intestinalis after laparoscopic appendectomy: case report and review of the literature. J Pediatr Surg. 2011;46:E21–4. A A 17-year-old boy presented with a 2-day history of This research received no specific grant from any funding any from grant specific no received research This The authors declare having followed the protocols in use in protocols the followed having declare authors The The authors declare that the procedures were followed Pneumatosis intestinalis, defined as the presence of gas of presence the as defined intestinalis, Pneumatosis Appendicitis; Pneumatosis Cystoides Intestinalis Appendicitis; Keywords: Palavras-chave: ble to conservative approach. conservative to ble is usually the signature of neonatal necrotizing , necrotizing neonatal of signature the usually is a potentially severe condition, but it may also be present in several diseases, such as rotavirus , amena 1. Department of Pediatric Surgery. Centro Hospitalar Universitário São João. Faculty of Medicine. Porto. Portugal. 1. Department of Pediatric Surgery. Vasconcelos-Castro. [email protected] Autor correspondente: Sofia  © Ordem dos Médicos 2019 Aceite: 13 de dezembro de 2018 | Copyright Recebido: 21 de dezembro de 2017 – 2. REFERENCES 1. Acta Med Port 2019 Oct;32(10):676–676 ▪ Acta Med Port 2019 Oct;32(10):676–676  VASCONCELOS-CASTRO Sofia Pneumatose Intestinal num Caso de Apendicite Aguda Apendicite Caso de num Intestinal Pneumatose Pneumatosis Intestinalis in a Case of Acute Appendicitis Acute a Case of in Intestinalis Pneumatosis right quadrant . His was painful with tenderness in the low right quadrant. The abdominal ultrasound (US) was inconclusive because of gas interposition. Computed increased tomography (Fig. 1) revealed extensive pneumatosis of the ascending plus colon (arrows) signs of acute (arrowhead). appendicitis After and an transumbilical appendectomy for appendicolith perforated appendicitis, the patient was laparoscopic-assisted discharged on the 5 agency in the public, commercial, or not-for-profit sectors. FUNDING SOURCES at their working center regarding patients’ data publication. at their working center regarding patients’ DATA CONFIDENTIALITY DATA according to the regulations established Research by the and Clinical Ethics Association. Medical Declaration of the World Committee and to the Helsinki PROTECTION OF HUMANS AND ANIMALS matosis coli may be present in acute appendicitis, - obscur this condition. ing and/or delaying the US diagnosis of within the gastrointestinal wall, may be explained by bacte- rial transmural migration secondary to luminal infection.

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