Pneumatosis cystoides intestinalis associated with toxic epidermal necrolysis: A case report  

作　　者：Si-Yuan Yao Ryutaro Seo Tohru Nagano Kazuo Yamazaki 

机构地区：[1]Departments of Surgery, Kobe City Medical Center General Hospital,Chuo-ku, Kobe 650-0047, Japan [2]Departments of Anesthesiology, Kobe City Medical Center General Hospital,Chuo-ku, Kobe 650-0047, Japan [3]Departments of Dermatology, Kobe City Medical Center General Hospital,Chuo-ku, Kobe 650-0047, Japan

出　　处：《World Journal of Clinical Cases》2014年第9期469-473,共5页世界临床病例杂志

摘　　要：Toxic epidermal necrolysis(TEN) is a severe adverse drug reaction, which is characterized by erythema, blisters, and/or erosions of the mucous membranes and skin, but intestinal involvement is rare. In contrast, pneumatosis cystoides intestinalis(PCI) is a rare condition associated with a wide variety of underlying diseases, but to date no patient has presented with PCI associated with TEN. A 55-year-old man was admitted to intensive care unit for treatment of TEN caused by phenobarbital. On day 8 after admission, he presented with progressive abdominal distention and hypotension. Computed tomography(CT) showed gas in the superior mesenteric vein and air filled cysts in the walls of the small intestine. He was suspected of having septic shock due to PCI. As there were no indications of bowel ischemia or necrosis, the patient was managed conservatively with antibiotics and oxygen therapy. On day 10 after admission, he was weaned off catecholamines, with CT on day 11 showing complete resolution of gas in the superior mesenteric vein and air filled cysts. To our knowledge, this article describes the first patient presenting with PCI associated with TEN.Toxic epidermal necrolysis(TEN) is a severe adverse drug reaction, which is characterized by erythema, blisters, and/or erosions of the mucous membranes and skin, but intestinal involvement is rare. In contrast, pneumatosis cystoides intestinalis(PCI) is a rare condition associated with a wide variety of underlying diseases, but to date no patient has presented with PCI associated with TEN. A 55-year-old man was admitted to intensive care unit for treatment of TEN caused by phenobarbital. On day 8 after admission, he presented with progressive abdominal distention and hypotension. Computed tomography(CT) showed gas in the superior mesenteric vein and air filled cysts in the walls of the small intestine. He was suspected of having septic shock due to PCI. As there were no indications of bowel ischemia or necrosis, the patient was managed conservatively with antibiotics and oxygen therapy. On day 10 after admission, he was weaned off catecholamines, with CT on day 11 showing complete resolution of gas in the superior mesenteric vein and air filled cysts. To our knowledge, this article describes the first patient presenting with PCI associated with TEN.

关 键 词：TOXIC EPIDERMAL necrolysis Intestinal involvement PNEUMATOSIS cystoids INTESTINALIS SEPTIC shock CONSERVATIVE treatment 

分 类 号：R758.2[医药卫生—皮肤病学与性病学]