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- Title
Pneumatosis Cystoides Intestinalis Following Steriod Pulse Therapy in a Patient with Polyarteritis Nodosa.
- Authors
Kohsaki, Takuhiro; Nishimori, Isao; Taniuchi, Keisuke; Miyaji, Eiki; Okamoto, Nobuto; Morita, Masanori; Onishi, Saburo; Kohsaki, Shino; Fujiwara, Yoshimasa; Yoshida, Shoji
- Abstract
We present a case of a 67-year-old female with polyarteritis nodosa, complicated by pneumatosis cystoides intestinalis. The definite diagnosis of polyarteritis nodosa was obtained by histological findings on a biopsy specimen from her sural nerve. Following steroid pulse therapy, she developed gastrointestinal symptoms such as nausea, abdominal fullness and watery diarrhea. Abdominal X-ray and computed tomography showed an abundance of gas contrast within the large intestinal wall. Colonoscopy revealed submucosal tumor-like multiple elevated lesions from the sigmoid to transverse colon. These findings indicated pneumatosis cystoides intestinalis and the patient was accordingly treated with a high concentration of oxygen via a nasal catheter. One week later, her symptoms and the gas in the bowel wall completely disappeared. Pneumatosis cystoides intestinalis may be one of the complications of steroid pulse therapy.
- Subjects
POLYARTERITIS nodosa; ADRENOCORTICAL hormones; DRUG side effects
- Publication
Digestive Endoscopy, 2000, Vol 12, Issue 4, p354
- ISSN
0915-5635
- Publication type
Article
- DOI
10.1046/j.1443-1661.2000.00074.x