A Case of Recurrent Pneumatosis Cystoides Intestinalis Associated with Recurrent Pneumoperitoneum.
- Author:
Ju Yee PARK
1
;
Jae Young YOON
;
Sun Yang MIN
;
Seung Kwon HONG
;
Ju Sang PARK
;
Eun Jeong JANG
;
Hyun Wook BAIK
;
Sang Jong PARK
Author Information
1. Department of Internal Medicine, Bundang Jesaeng General Hospital, Seongnam, Korea. elwind@dmc.or.kr
- Publication Type:Case Report ; English Abstract
- Keywords:
Pneumatosis cystoides intestinalis;
Pneumoperitoneum;
Lactitol
- MeSH:
Adult;
Cathartics/adverse effects/therapeutic use;
Female;
Humans;
Pneumatosis Cystoides Intestinalis/*diagnosis/etiology/radiography;
Pneumoperitoneum/complications/*diagnosis;
Recurrence;
Sugar Alcohols/adverse effects/therapeutic use;
Tomography, X-Ray Computed
- From:The Korean Journal of Gastroenterology
2007;50(3):188-192
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pneumatosis cystoides intestinalis is an uncommon condition of unknown etiology, characterized by the presence of multiple gas filled cysts in the gastrointestinal tract. Many different causes of pneumatosis cystoides intestinalis have been proposed, including mechanical, pulmonary, and bacterial causes. Approximately 85% of cases are thought to be secondary to coexisting disorders of the gastrointestinal tract or the respiratory system. The condition has been associated with the therapeutic uses of lactulose, steroids, and various cancer chemotherapeutic regimens. Lactitol is a disaccharide analogue of lactulose which is available as a pure crystalline powder. There are three previous case reports suggestive of lactulose causing pnumatosis intestinalis. We report a case of recurrent pneumatosis cystoides intestinalis associated with benign recurrent pneumoperitoneum developed probably secondary to lactitol therapy.
