Successfully treated pneumatosis cystoides intestinalis with pneumoperitoneum onset in a patient administered α-glucosidase inhibitor

Shunsuke Tanabe, Yasuhiro Shirakawa, Yuko Takehara, Naoaki Maeda, Ryoichi Katsube, Toshiaki Ohara, Kazufumi Sakurama, Kazuhiro Noma, Toshiyoshi Fujiwara

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

An 80-year-old woman, who had been administered α-glucosidase inhibitor for diabetes, was brought to the hospital with the sensation of abdominal fullness and pain. Abdominal computed tomography indicated pneumatosis cystoides intestinalis (PCI) in the small intestinal wall, with free air within the abdomen. A blood examination showed no increases in white blood cells or C-reactive protein level. The patient's condition improved with conservative therapy. PCI with pneumoperitoneum induced by α-glucosidase inhibitor is rare, with only 27 cases (excluding the present case) reported in Japan to date. In PCI with pneumoperitoneum, differentiation from gastrointestinal perforation is important and following the clinical symptoms over time is vital.

Original languageEnglish
Pages (from-to)123-128
Number of pages6
JournalActa medica Okayama
Volume67
Issue number2
Publication statusPublished - 2013

Keywords

  • Pneumatosis cystoides intestinalis
  • Pneumoperitoneum
  • α-glucosidase inhibitor

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

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