Incidental finding of esophageal pneumatosis

Table 1 Vital signs on initial examination

Vital signs
Temperature	98.2°F
Blood pressure	208/103 mmHg
Pulse rate	108 beats per minute
Respiratory rate	20 breaths per minute
Oxygen saturation	95% (breathing ambient air)

Table 2 Laboratory findings

Laboratory values
Hematocrit	38.90%
White blood cell count	7800/mm3
	(77% neutrophils and 13% lymphocytes)
Platelet count	229  000/μL
Prothrombin time	11.8 s
Activated partial thromboplastin time	26.4 s
Serum sodium	137 mEq/L
Serum potassium	3.6 mEq/L
Serum blood urea nitrogen	13 mg/dL
Serum creatinine	1.5 mg/dL
Serum total protein	6.9 g/dL
Serum albumin	3.3 g/dL
Serum alanine aminotransferase	13 U/L
Serum aspartate transaminase	25 U/L
Serum total bilirubin and direct bilirubin	1.2 mg/dL, 0.7 mg/dL
Serum creatine kinase	225 U/L
Hepatitis panel	Hepatitis C antibody positive
	Hepatitis B antigen negative

Table 3 Esophageal pneumatosis case reports

Ref.	Age	Sex	Etiology	Treatment	Follow up
Vanasin et al[9]	62	F	Esophageal stricture	None	Post mortem diagnosis.
					Died of aspiration pneumonia
Katz et al[10]	85	F	Post esophagoscopy	Surgery	Died in 6 wk
Katz et al[10]	46	F	Post esophagoscopy	Surgery	Survived
Katz et al[10]	39	F	Post esophagoscopy	Antibiotics	Survived
McKelvie et al[11]	76	M	Infection	None	Post mortem diagnosis
Tixedor et al[12]	74	F	Post pancreato-duodenectomy	Nasogastric aspiration	Survived
Mclaughlin et al[13]	77	M	Gastric dilatation	100% oxygen	Survived
Yahng et al[14]	62	F	Chemotherapy and neutropenia	Observation	Died in 5 wk due to ARDS

F: Female; M: Male; ARDS: Acute respiratory distress syndrome.