Korean Journal of Gastrointestinal Endoscopy 2010;40(6): 378-381.
사지 마비의 척삭종 환자에서 동반된 장관 기종 1예
양혜민*ㆍ임윤정ㆍ이용석†ㆍ이진호
동국대학교 일산병원 내과, *가정의학과, †영상의학과
A Case of Pneumatosis Intestinalis in a Chordoma Patient with Tetraplegia
Hye Min Yang, M.D.*, Yun Jeong Lim, M.D., Yong Seok Lee, M.D.† and Jin Ho Lee, M.D.
Departments of Internal Medicine and *Family Medicine and †Radiology, Dongguk University College of Medicine, Seoul, Korea
Abstract
Pneumatosis cystoides intestinalis (PCI) is an uncommon clinical condition of undetermined etiology that is characterized by multiple subserosal or submucosal gas-filled cysts. PCI may be associated with gastrointestinal, pulmonary or connective vascular diseases. The clinical manifestations are non-specific. PCI is diagnosed by plain X-ray or CT of the abdomen. The clinical course and prognosis are usually good. Complications such as intestinal obstruction, intussusceptions and bowel perforation can occur in rare cases. Here we report a case of PCI in a chordoma patient with tetraplegia who complained of abdominal distension. The patient was diagnosed by plain X-ray which showed bubbles in the small bowel. The abdominal distension and the bubbles were markedly improved by conservative treatment. (Korean J Gastrointest Endosc 2010;40:378-381)
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