ID | 49672 |
JaLCDOI | |
FullText URL | |
Author |
Tanabe, Shunsuke
Kaken ID
Shirakawa, Yasuhiro
Takehara, Yuko
Maeda, Naoaki
Katsube, Ryoichi
Ohara, Toshiaki
Sakurama, Kazufumi
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Abstract | An 80-year-old woman, who had been administered α-glucosidase inhibitor for diabetes, was brought to the hospital with the sensation of abdominal fullness and pain. Abdominal computed tomography indicated pneumatosis cystoides intestinalis (PCI) in the small intestinal wall, with free air within the abdomen. A blood examination showed no increases in white blood cells or C-reactive protein level. The patientʼs condition improved with conservative therapy. PCI with pneumoperitoneum induced by α-glucosidase inhibitor is rare, with only 27 cases (excluding the present case) reported in Japan to date. In PCI with pneumoperitoneum, differentiation from gastrointestinal perforation is important and following the clinical symptoms over time is vital.
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Keywords | pneumatosis cystoides intestinalis
pneumoperitoneum
α-glucosidase inhibitor
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Amo Type | Case Report
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Publication Title |
Acta Medica Okayama
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Published Date | 2013-04
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Volume | volume67
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Issue | issue2
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Publisher | Okayama University Medical School
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Start Page | 123
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End Page | 128
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ISSN | 0386-300X
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NCID | AA00508441
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Content Type |
Journal Article
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language |
English
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Copyright Holders | CopyrightⒸ 2013 by Okayama University Medical School
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File Version | publisher
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Refereed |
True
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PubMed ID | |
Web of Science KeyUT |