Lee Jeong-Soo, Joo So-Young, Park Chang-Hwan, Park Seon-Young, Park Hyeong-Cheon, Kim Hyun Soo, Choi Sung Kyu, Rew Jong Sun
Naju Central Hospital, and Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.
Korean J Gastroenterol. 2007 Jul;50(1):56-60.
Pneumatosis cystoides intestinalis (PCI) is a relatively rare condition in which gas is found as a linear or cystic form in the submucosa or subserosa of bowel wall. PCI is usually found incidentally on an imaging study. Treatment is usually conservative including oxygen and antibiotics therapy. So far, etiology and pathogenesis of PCI remain uncertain. PCI is associated with various medical conditions including various pulmonary diseases, connective tissue diseases, and endoscopic procedures. However, there are only few reports on lactulose causing PCI in patients with cirrhosis. Oral lactulose or enema is one of the main treatment modalities in hepatic encephalopathy. Here, we report a case of PCI which was found during the treatment with lactulose therapy in a patient with liver cirrhosis and hepatic encephalopathy.
肠壁囊样积气症（PCI）是一种相对罕见的病症，其中气体以线性或囊性形式存在于肠壁的黏膜下层或浆膜下层。PCI通常在影像学检查中偶然发现。治疗通常是保守的，包括吸氧和抗生素治疗。到目前为止，PCI的病因和发病机制仍不明确。PCI与多种医学病症相关，包括各种肺部疾病、结缔组织疾病和内镜检查。然而，关于乳果糖导致肝硬化患者发生PCI的报道很少。口服乳果糖或灌肠是肝性脑病的主要治疗方式之一。在此，我们报告一例在肝硬化和肝性脑病患者接受乳果糖治疗期间发现的PCI病例。
