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KMID : 0614620070500030188
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Korean Journal of Gastroenterology
2007 Volume.50 No. 3 p.188 ~ p.192
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A Case of Recurrent Pneumatosis Cystoides Intestinalis Associated with Recurrent Pneumoperitoneum
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Park Ju-Yee
Yoon Jae-Young
Min Sun-Yang
Hong Sung-Guon
Park Ju-Sang
Jang Eun-Jeong
Baik Hyun-Wook
Park Sang-Jong
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Abstract
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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 pnumatosis intestinalis. We report a case of recurrent pneumatosis cystoides intestinalis associated with benign recurrent pneumoperitoneum developed probably secondary to lactitol therapy. (Korean J Gastroenterol 2007;50:188-192)
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KEYWORD
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Pneumatosis cystoides intestinalis, Pneumoperitoneum, Lactitol
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