INTESTINE Vol.16 No.1(10)

Theme Drug-induced gastrointestinal disorders
Title The pneumatosis cystoides intestinalis associated with the drug
Publish Date 2012/01
Author Sei Kurokawa Division of Gastroenterology, Sapporo Kosei General Hospital
Author Maki Miyakawa Division of Gastroenterology, Sapporo Kosei General Hospital
Author Atsushi Michigami Division of Gastroenterology, Sapporo Kosei General Hospital
Author Hitoshi Nishioka Division of Gastroenterology, Sapporo Kosei General Hospital
Author Takeshi Hagiwara Division of Gastroenterology, Sapporo Kosei General Hospital
Author Hiroshi Kozawa Division of Gastroenterology, Sapporo Kosei General Hospital
Author Akimichi Imamura Division of Gastroenterology, Sapporo Kosei General Hospital
[ Summary ] Pneumatosis cystoides intestinalis (PCI) is a relatively rare disease. It is asymptomatic, and is most often accidentally discovered during treatment of ideopathatic conditions. There are cases in which drugs are causative factors leading to the development of PCI. Trichloroethylene, alpha-glucosidase inhibitors, steroids, and immunosuppressive drugs are known to be causative agents. There have beer reports of implementation of intraabdominal free air imaging for treatment of PCI. However, if conservative treatments are discontinued, conditions, excluding gastrointestinal perforation, may require emergency surgery because intestinal necrosis may develop.
back