A Case of Pneumatosis Cystoides Intestinalis in a Patient with Dermatomyositis.
10.4078/jrd.2015.22.4.238
- Author:
Dong Jin GO
1
;
Jeong Seok LEE
;
Sang Hyun JOO
;
Jinyoung MOON
;
Jae Hyun LEE
;
Eun Young LEE
Author Information
1. Department of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea. elee@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Pneumatosis cystoides intestinalis;
Dermatomyositis;
Corticosteroids
- MeSH:
Adrenal Cortex Hormones;
Connective Tissue Diseases;
Dermatomyositis*;
Female;
Humans;
Middle Aged;
Necrosis;
Peritonitis;
Pneumatosis Cystoides Intestinalis*;
Pneumoperitoneum
- From:Journal of Rheumatic Diseases
2015;22(4):238-241
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pneumatosis cystoides intestinalis (PCI), the presence of air within the bowel wall, could be complicated with connective tissue disease. PCI associated with dermatomyositis has rarely been reported. Here, we report on a case of PCI that occurred in a 60-year-old female patient with dermatomyositis, presenting with epigastric discomfort. PCI with pneumoperitoneum was detected on abdominal computed tomography but improved by conservative management without surgery. Treatment for secondary PCI is associated with underlying disease. Also, identification of serious complication, such as bowel perforation, necrosis, and peritonitis, requiring surgical intervention is important.
