A case of pneumatosis cystoides intestinalis in a patient with polymyositis and interstitial pneumonia

Yoko WadaDepartment of Internal Medicine, Nagaoka Central General Hospital, Nagaoka, Japan;Division of Clinical Nephrology and Rheumatology, Niigata University Graduate School of Medical and Dental Sciences, 1-757, Asahimachi-dori, Niigara 951-8510, JapanCorrespondence[email protected]

Naoya MurayamaDepartment of Internal Medicine, Nagaoka Central General Hospital, Nagaoka, Japan

Shintaro HiroseDepartment of Internal Medicine, Nagaoka Central General Hospital, Nagaoka, Japan

Hian InDepartment of Internal Medicine, Nagaoka Central General Hospital, Nagaoka, Japan

Takeshi KurodaDivision of Clinical Nephrology and Rheumatology, Niigata University Graduate School of Medical and Dental Sciences, 1-757, Asahimachi-dori, Niigara 951-8510, Japan

Satoshi ItoDivision of Clinical Nephrology and Rheumatology, Niigata University Graduate School of Medical and Dental Sciences, 1-757, Asahimachi-dori, Niigara 951-8510, Japan

Masaaki NakanoSchool of Health Sciences, Faculty of Medicine, Niigata University, Niigata, Japan

Fumitake GejyoDivision of Clinical Nephrology and Rheumatology, Niigata University Graduate School of Medical and Dental Sciences, 1-757, Asahimachi-dori, Niigara 951-8510, Japan

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Abstract

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.

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A case of pneumatosis cystoides intestinalis in a patient with polymyositis and interstitial pneumonia

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A case of pneumatosis cystoides intestinalis in a patient with polymyositis and interstitial pneumonia

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