A case of pneumatosis cystoides intestinalis in a patient with polymyositis and interstitial pneumonia.
We report the case of a 49-year-old man who presented with pneumatosis cystoides intestinalis associated with polymyositis and interstitial pneumonia. Three months after the administration of prednisolone and cyclosporine, he noticed mild abdominal distension, and a radiographic examination showed intraperitoneal free gas and intramural gas, suggestive of pneumatosis cystoides intestinalis (PCI). Additional treatment with a combination of doxycycline and high-dose oxygen therapy was effective in relieving the clinical symptoms and reducing the intramural gas.
Wada
Yoko
Y
Department of Internal Medicine, Nagaoka Central General Hospital, Nagaoka, Japan. youko.wada@ryumachi-jp.com
Murayama
Naoya
N
Hirose
Shintaro
S
In
Hian
H
Kuroda
Takeshi
T
Ito
Satoshi
S
Nakano
Masaaki
M
Gejyo
Fumitake
F