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 language | English |
|---|---|
| Pages (from-to) | 123-128 |
| Number of pages | 6 |
| Journal | Acta Medica Okayama |
| Volume | 67 |
| Issue number | 2 |
| Publication status | Published - 2013 |
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Keywords
- α-glucosidase inhibitor
- Pneumatosis cystoides intestinalis
- Pneumoperitoneum
ASJC Scopus subject areas
- Medicine(all)
- Biochemistry, Genetics and Molecular Biology(all)
Cite this
Successfully treated pneumatosis cystoides intestinalis with pneumoperitoneum onset in a patient administered α-glucosidase inhibitor. / Tanabe, Shunsuke; Shirakawa, Yasuhiro; Takehara, Yuko; Maeda, Naoaki; Katsube, Ryoichi; Ohara, Toshiaki; Sakurama, Kazufumi; Noma, Kazuhiro; Fujiwara, Toshiyoshi.
In: Acta Medica Okayama, Vol. 67, No. 2, 2013, p. 123-128.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Successfully treated pneumatosis cystoides intestinalis with pneumoperitoneum onset in a patient administered α-glucosidase inhibitor
AU - Tanabe, Shunsuke
AU - Shirakawa, Yasuhiro
AU - Takehara, Yuko
AU - Maeda, Naoaki
AU - Katsube, Ryoichi
AU - Ohara, Toshiaki
AU - Sakurama, Kazufumi
AU - Noma, Kazuhiro
AU - Fujiwara, Toshiyoshi
PY - 2013
Y1 - 2013
N2 - 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.
AB - 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.
KW - α-glucosidase inhibitor
KW - Pneumatosis cystoides intestinalis
KW - Pneumoperitoneum
UR - http://www.scopus.com/inward/record.url?scp=84878643503&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84878643503&partnerID=8YFLogxK
M3 - Article
C2 - 23603930
AN - SCOPUS:84878643503
VL - 67
SP - 123
EP - 128
JO - Acta Medica Okayama
JF - Acta Medica Okayama
SN - 0386-300X
IS - 2
ER -