Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
권호 표지
DOI QR코드

DOI QR Code

Pneumatosis Intestinalis Complicated by Pneumoperitoneum in a Patient with Asthma

  • Choi, Joon Young (Division of Respiratory, Allergy and Critical Care, Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Cho, Sung Bae (Division of Respiratory, Allergy and Critical Care, Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Kim, Hyun Ho (Division of Respiratory, Allergy and Critical Care, Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Lee, In Hee (Division of Respiratory, Allergy and Critical Care, Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Lee, Hea Yon (Division of Respiratory, Allergy and Critical Care, Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Kang, Hye Seon (Division of Respiratory, Allergy and Critical Care, Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Lee, Hwa Young (Division of Respiratory, Allergy and Critical Care, Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Lee, Sook Young (Division of Respiratory, Allergy and Critical Care, Department of Internal Medicine, The Catholic University of Korea College of Medicine)
  • Received : 2014.06.09
  • Accepted : 2014.08.13
  • Published : 2014.11.28
Download PDF
⟨ Previous Next ⟩

Abstract

Pneumatosis intestinalis (PI) is a very rare condition that is defined as the presence of gas within the subserosal or submucosal layer of the bowel. PI has been described in association with a variety of conditions including gastrointestinal tract disorders, pulmonary diseases, connective tissue disorders, organ transplantation, leukemia, and various immunodeficiency states. We report a rare case of a 74-year-old woman who complained of dyspnea during the management of acute asthma exacerbation and developed PI; but, it improved without any treatment.

Keywords

References

  1. Doumit M, Saloojee N, Seppala R. Pneumatosis intestinalis in a patient with chronic bronchiectasis. Can J Gastroenterol 2008;22:847-50. https://doi.org/10.1155/2008/595297
  2. Morris MS, Gee AC, Cho SD, Limbaugh K, Underwood S, Ham B, et al. Management and outcome of pneumatosis intestinalis. Am J Surg 2008;195:679-82. https://doi.org/10.1016/j.amjsurg.2008.01.011
  3. St Peter SD, Abbas MA, Kelly KA. The spectrum of pneumatosis intestinalis. Arch Surg 2003;138:68-75. https://doi.org/10.1001/archsurg.138.1.68
  4. Culver GJ. Pneumatosis intestinalis with associated retroperitoneal air: report of a complication of severe asthma. JAMA 1963;186:160-2.
  5. Appere-De Vecchi C, De Jonghe B, Santoli F, Louboutin A, Outin H. Severe acute asthma with bowel infarction and pneumatosis intestinalis in a young adult. J Asthma 2001;38: 215-9. https://doi.org/10.1081/JAS-100000108
  6. Ezuka A, Kawana K, Nagase H, Takahashi H, Nakajima A. Improvement of pneumatosis cystoides intestinalis after steroid tapering in a patient with bronchial asthma: a case report. J Med Case Rep 2013;7:163. https://doi.org/10.1186/1752-1947-7-163
  7. Pear BL. Pneumatosis intestinalis: a review. Radiology 1998; 207:13-9. https://doi.org/10.1148/radiology.207.1.9530294
  8. Yang DJ, Kim HK, Ryu SR, Lee BH, Lee JH, Kim SH, et al. A case of pneumatosis cytoides intestinalis complicated by pneumoperitoneum in a post-tuberculosis destroyed lung. Korean J Med 2010;78:370-4.
  9. Liu KL, Chen HY, Lee TC, Wang HP. Gastrointestinal: pneumatosis coli. J Gastroenterol Hepatol 2006;21:772. https://doi.org/10.1111/j.1440-1746.2006.04435.x
  10. Tobias R, Coleman S, Helman CA. Pneumatosis coli simulating hepatomegaly. Am J Gastroenterol 1985;80:146-9.
  11. Fenton LZ, Buonomo C. Benign pneumatosis in children. Pediatr Radiol 2000;30:786-93. https://doi.org/10.1007/s002470000303
  12. Feczko PJ, Mezwa DG, Farah MC, White BD. Clinical significance of pneumatosis of the bowel wall. Radiographics 1992; 12:1069-78. https://doi.org/10.1148/radiographics.12.6.1439012
  13. Miralbes M, Hinojosa J, Alonso J, Berenguer J. Oxygen therapy in pneumatosis coli. What is the minimum oxygen requirement? Dis Colon Rectum 1983;26:458-60. https://doi.org/10.1007/BF02556526
  14. Tanabe S, Shirakawa Y, Takehara Y, Maeda N, Katsube R, Ohara T, et al. Successfully treated pneumatosis cystoides intestinalis with pneumoperitoneum onset in a patient administered alpha-glucosidase inhibitor. Acta Med Okayama 2013; 67:123-8.
  15. Imai K, Doi Y, Takata N, Yoshinaka I, Harada K. Successful conservative treatment of pneumatosis intestinalis associated with intraperitoneal free air: report of a case. Surg Today 2012;42:992-6. https://doi.org/10.1007/s00595-012-0184-y

Cited by

  1. Pathology of emphysematous reticulitis in cattle: report of two cases and comparative overview of similar or identical conditions vol.25, pp.4, 2014, https://doi.org/10.1007/s00580-016-2267-4
  2. A case report and approach to management in pneumatosis intestinalis ☆ vol.23, pp.None, 2014, https://doi.org/10.1016/j.amsu.2017.09.010
  3. Pneumatosis cystoides intestinalis presenting as pneumoperitoneum in a patient with chronic obstructive pulmonary disease: a case report vol.11, pp.1, 2014, https://doi.org/10.1186/s13256-017-1198-2
  4. Pneumatosis From Esophagus to Rectum: A Comprehensive Review Focusing on Clinico-Radiological Differentiation Between Benign and Life-Threatening Causes vol.39, pp.2, 2018, https://doi.org/10.1053/j.sult.2017.09.002
  5. Pneumatosis Intestinalis Associated with Pulmonary Disorders vol.80, pp.2, 2014, https://doi.org/10.3348/jksr.2019.80.2.274