Son Daisuke, Inoue Kazuoki, Lee Young, Kamimoto Minako, Imaoka Shintaro, Yamamoto Shiori, Hamada Toshihiro, Taniguchi Shin-Ichi, Koda Masahiko
Department of Community-based Family Medicine Faculty of Medicine Tottori University Yonago Japan.
Department of General Medicine Hino Hospital Hino-gun Japan.
J Gen Fam Med. 2021 Jun 9;23(1):41-43. doi: 10.1002/jgf2.470. eCollection 2022 Jan.
We report a case of pneumatosis intestinalis (PI) in a hemodialysis patient who presented with anorexia and nausea. Anorexia with postprandial nausea can be caused by gastrointestinal diseases, with one of the rare causes being PI. PI may occur in hemodialysis patients, but it is rarely reported. We experienced a case of benign PI in a hemodialysis patient, for whom the conservative treatment with antibiotics improved the patient's clinical symptoms. In patients with PI, it is important to rule out potentially life-threatening complications, such as the presence of hepatic intraportal gas on CT scan.
我们报告一例血液透析患者出现肠壁积气（PI），该患者表现为厌食和恶心。伴有餐后恶心的厌食可能由胃肠道疾病引起，其中罕见原因之一是PI。PI可能发生在血液透析患者中，但鲜有报道。我们遇到一例血液透析患者的良性PI病例，对其采用抗生素保守治疗改善了患者的临床症状。对于PI患者，排除潜在的危及生命的并发症很重要，比如CT扫描显示肝门静脉内有气体。
