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. 2022 Aug 5;6(9):643-646.
doi: 10.1002/jgh3.12802. eCollection 2022 Sep.

Case of pneumatosis cystoides intestinalis with intra-abdominal free air developed during treatment with voglibose

Etsuko Hisanaga  1 , Takaaki Sano  2 , Yuji Kumakura  3 , Yozo Yokoyama  1 , Isao Nakajima  4 , Hitoshi Takagi  1
Affiliations

Case of pneumatosis cystoides intestinalis with intra-abdominal free air developed during treatment with voglibose

Etsuko Hisanaga et al. JGH Open. .

Abstract

Contrast-enhanced computed tomography (CT) scan (portal phase) at the onset. Emphysema is detected in the ileal wall (b, c: Arrows) and free air is detected in the abdominal cavity (a: Arrowhead). CT scan imaging settings: (a-c) window level (WL) 60 and window width (WW) 300. (d-f) WL 0 and WW 433. By changing the imaging settings, intestinal emphysema and free air can be more easily identified.

Keywords: glucosidases; humans; pneumatosis cystoides intestinalis.

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Figures

Figure 1
Figure 1
Contrast‐enhanced computed tomography (CT) scan (portal phase) at the onset. Emphysema is detected in the ileal wall (b, c: Arrows) and free air is detected in the abdominal cavity (a: Arrowhead). CT scan imaging settings: (a‐c) window level (WL) 60 and window width (WW) 300. (d‐f) WL 0 and WW 433. By changing the imaging settings, intestinal emphysema and free air can be more easily identified.
Figure 2
Figure 2
Computed tomography (CT) scan on the third day of onset: (a, c): Both intestinal emphysema (arrows) and free air (arrowheads) remain, but there is no increase in free air. CT scan 2 weeks after onset: (b, d): Intestinal emphysema and free air have resolved. Imaging settings: (a, b) Window level (WL) 30 and window width (WW) 300. (c, d) WL 0 and WW 433.
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