title: [A case of recurrent pneumatosis cystoides intestinalis associated with recurrent pneumoperitoneum].
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 pneumatosis intestinalis. We report a case of recurrent pneumatosis cystoides intestinalis associated with benign recurrent pneumoperitoneum developed probably secondary to lactitol therapy.
authors: Department of Internal Medicine, Bundang Jesaeng General Hospital, Seongnam, Korea.
authors: Ju Yee
authors: JY
authors: Park
authors: Jae Young
authors: JY
authors: Yoon
authors: Sun Yang
authors: SY
authors: Min
authors: Seung Kwon
authors: SK
authors: Hong
authors: Ju Sang
authors: JS
authors: Park
authors: Eun Jeong
authors: EJ
authors: Jang
authors: Hyun Wook
authors: HW
authors: Baik
authors: Sang Jong
authors: SJ
authors: Park
mesh_terms: D000328:Adult; D002400:Cathartics / Q000009:adverse effects / Q000627:therapeutic use; D005260:Female; D006801:Humans; D011006:Pneumatosis Cystoides Intestinalis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology; D011027:Pneumoperitoneum / Q000150:complications / Q000175:diagnosis*; D012008:Recurrence; D013402:Sugar Alcohols / Q000009:adverse effects / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed
chemical_list: D002400:Cathartics; D013402:Sugar Alcohols; C014635:lactitol