[A case of recurrent pneumatosis cystoides intestinalis associated with recurrent pneumoperitoneum].
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.
Park
Ju Yee
JY
Department of Internal Medicine, Bundang Jesaeng General Hospital, Seongnam, Korea.
Yoon
Jae Young
JY
Min
Sun Yang
SY
Hong
Seung Kwon
SK
Park
Ju Sang
JS
Jang
Eun Jeong
EJ
Baik
Hyun Wook
HW
Park
Sang Jong
SJ
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
D002400:Cathartics; D013402:Sugar Alcohols; C014635:lactitol