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ID 49672
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Author
Tanabe, Shunsuke Kaken ID
Shirakawa, Yasuhiro
Takehara, Yuko
Maeda, Naoaki
Katsube, Ryoichi
Ohara, Toshiaki
Sakurama, Kazufumi
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 patientʼs 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.
Keywords
pneumatosis cystoides intestinalis
pneumoperitoneum
α-glucosidase inhibitor
Amo Type
Case Report
Published Date
2013-04
Publication Title
Acta Medica Okayama
Volume
volume67
Issue
issue2
Publisher
Okayama University Medical School
Start Page
123
End Page
128
ISSN
0386-300X
NCID
AA00508441
Content Type
Journal Article
language
英語
Copyright Holders
CopyrightⒸ 2013 by Okayama University Medical School
File Version
publisher
Refereed
True
PubMed ID
Web of Science KeyUT