Case Series

Pneumatosis Intestinalis in Adult Bilateral Lung Transplant Patients: A Single Institution Experience and Literature Review

Table 1

PI data.

PatientAge, sexPrimary diagnosisTime to PI after TxTime to PI after GJ tubeImmunosuppressionSymptomsPI distributionPneumoperitoneumMesenteric gasPortal venous gasLactic acidAmylaseBicarbonateFollow-up imagingManagement

158, MSarcoidosis2311P+T+MMFAbdominal pain, diarrheaC/AYYN23.54528
O2 at 15 L Vancomycin, Zosyn, Micafungin
243, MIPF4743P+T+MMFNoneC/A/T/DNNN1.923

O2 at 15 L Flagyl, Merrem
371, FIPF533P+T+MMFC/A/TNNN1.429
O2 at 15 L Flagyl
466, FSarcoidosis364P+T+MMF+IVIGA/TYNN1.63123NoneOR for ex lap O2 at 15 L (negative)
567, FIPF517519P+T+MMFDiarrheaAYNN0.71725
O2 at 15 L
666, FIPF147P+T+MMF
C/ANNN1.123O2 at 15 L
764, MIPF810P+T+MMFDiarrheaC/ANYY29
O2 at 15 L
859, MScleroderma ILD5P+T+MMFNoneCYYN37OR surgery—cecal ischemia and perforation and closed loop large bowel obstruction
969, FScleroderma ILD4145P+T+MMFC/A/TYYN2.29023Flagyl O2 at 15 L
1037, FScleroderma ILD2838P+T+MMFNoneC/A/T/DYYN0.924O2 at 15 L
1179, MIPF375P+T+MMFNoneC/AYNN23923
O2 at 15 L
1254, FIPF2837P+T+MMFNoneC/A/T/DYYN1.626Flagyl O2 at 15 L Switched TF to Vivonex
1371, MIPF20910P+T+MMFCNNY1.628
Flagyl O2 at 15 L
1461, FScleroderma ILD4753P+T+MMFNoneC/A/TYYN2.624
O2 at 15 L Zosyn
1573, MCPFE3745P+T+MMFDiarrheaC/A/TYYN3.37428

O2 at 15 L Flagyl/Vancomycin (C. diff)
1661, MIPF6321P+T+MMFDiarrheaC/A/T/DYYN1.83825Switch TF to elemental Flagyl, Florastor O2 at 15 L
1759, FIPF234193P+T+MMFNoneC/A/T/DNNN0.524NonePatient seen in ED after outside X-ray showing PI, discharged from ED
1843, MIPF200108P+T+MMFNoneA/TYYN1.83425Switch TF to elemental O2 at 15 L Flagyl
1971, MIPF2413P+T+MMFNoneCYNN1.526NoneTreated outpatient
2058, MA1AT1728P+T+MMFDiarrheaC/A/T/DYYN0.612030
Flagyl O2 at 15 L
2155, MIPF147730P+TNoneC/ANYN1.52336
O2 at 15 L
2269, MIPF5139P+T+MMFNoneC/A/TYYN0.84029None
O2 at 15 L
2362, MIPF202P+T+MMFC/A/TNNN122
O2 at 15 L

Note: IPF: interstitial pulmonary fibrosis; P: prednisone; T: tacrolimus; MMF: mycophenolate mofetil; C/A/T/D: cecum/ascending/transverse/descending colon.