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KMID : 1084220150220040238
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Journal of Rheumatic Diseases
2015 Volume.22 No. 4 p.238 ~ p.241
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A Case of Pneumatosis Cystoides Intestinalis in a Patient with Dermatomyositis
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Ko Dong-Jin
Lee Jeong-Seok
Joo Sang-Hyun
Moon Jin-Young
Lee Jae-Hyun
Lee Eun-Young
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Abstract
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Pneumatosis cystoides intestinalis (PCI), the presence of air within the bowel wall, could be complicated with connective tissue disease. PCI associated with dermatomyositis has rarely been reported. Here, we report on a case of PCI that occurred in a 60-year-old female patient with dermatomyositis, presenting with epigastric discomfort. PCI with pneumoperitoneum was detected on abdominal computed tomography but improved by conservative management without surgery. Treatment for secondary PCI is associated with underlying disease. Also, identification of serious complication, such as bowel perforation, necrosis, and peritonitis, requiring surgical intervention is important.
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KEYWORD
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Pneumatosis cystoides intestinalis, Dermatomyositis, Corticosteroids
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