다발성 근염 환자에서 발생한 장관 포상 기종 및 부분적 장폐쇄의 1예 = CASE REPORT : Pneumatosis Cystoides Intestinalis and Partial Abdominal Obstruction in a Patient with Polymyositis

다국어 초록 (Multilingual Abstract)

Pneumatosis cystoides intestinalis (PCI) is a rare disease characterized by the presence of intramural gas-filled cysts in the gastrointestinal wall. This disease has been documented in patients with various medical conditions such as gastrointestinal disease, chronic obstructive lung disease, sepsis, and autoimmune disorders. A 49-year-old woman, who was undergoing immumosuppressant therapy due to polymyositis, developed PCI. She experienced a gradual onset of abdominal distension. A simple abdominal radiograph revealed small, round air shadows involving the small bowel, and abdominal computed tomography showed intraluminal air bubbles at the jejunal loop with free air in the peritoneum. Treatment with doxycycline effectively relieved the clinical symptoms and reduced the intramural gas. (Intest Res 2011;9:234-237)

참고문헌 (Reference)

1 이순재, "다발성 근염과 병발한 창자벽 공기낭증 1예" 대한소화기학회 57 (57): 249-252, 2011

2 St Peter SD, "The spectrum of pneumatosis intestinalis" 138 : 68-75, 2003

3 Atsumi T, "Pneumoperitoneum without perforation of the gastrointestinal tract in a patient with systemic lupus erythematosus" 31 : 398-404, 1991

4 Pear BL, "Pneumatosis intestinalis: a review" 207 : 13-19, 1998

5 Heng Y, "Pneumatosis intestinalis: a review" 90 : 1747-1758, 1995

6 Knechtle SJ, "Pneumatosis intestinalis. Surgical management and clinical outcome" 212 : 160-165, 1990

7 Ishikawa H, "Pneumatosis cystoides intestinalis; PCI" (Suppl 6) : 405-407, 1994

8 Voboril R, "Pneumatosis cystoides intestinalis--a review" 44 : 89-92, 2001

9 Sleisenger MH, "Pneumatosis cystoides intestinalis, in Gastrointestinal Disease: Pathophysiology, Diagnosis, Management" Saunders 1514-1519, 1973

10 Kuroda T, "Pneumatosis cystoides intestinalis in a patient with polymyositis" 20 : 49-52, 2001

11 Pruitt RE, "Pneumatosis cystoides intestinalis and benign pneumoperitoneum in a patient with antinuclear antibody negative systemic lupus erythematosus" 15 : 1575-1577, 1988

12 Alford JE, "Pneumatosis cystoides intestinalis" 92 : 648-656, 1956

13 Koss LG, "Abdominal gas cysts (pneumatosis cystoides intestinorum hominis); an analysis with a report of a case and a critical review of the literature" 53 : 523-549, 1952

14 Wada Y, "A case of pneumatosis cystoides intestinalis in a patient with polymyositis and interstitial pneumonia" 14 : 260-263, 2004