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Pneumatosis cystoides intestinalis in intestinal pseudoobstruction

Resolution after therapy with metronidazole

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Summary

A 66-year-old man with chronic idiopathic intestinal pseudoobstruction was admitted for pneumatosis cystoides intestinalis, complicated by pneumoperitoneum. The latter conditions resolved after treatment with metronidazole. There was no favorable effect of the prokinetic agents cisapride and erythromycin. To the authors' knowledge, this is the first reported case of successful treatment of pneumatosis cystoides intestinalis with metronidazole in primary chronic intestinal pseudoobstruction.

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Author notes

  1. P. P. Tak MD

    Present address: Department of General Internal Medicine, University Hospital Leiden, P. O. Box 9600, 2300 RC, Leiden, The Netherlands

Authors and Affiliations

  1. Department of Gastroenterology, University Hospital Leiden, Leiden, The Netherlands

    P. P. Tak MD, C. M. Van Duinen MD, P. Bun MD, F. Eulderink MD, PhD, J. Kreuning MD, PhD, H. G. Gooszen MD, PhD & C. B. H. W. Lamers MD, PhD

  2. Department of Pathology, University of Leiden, Leiden, The Netherlands

    P. P. Tak MD, C. M. Van Duinen MD, P. Bun MD, F. Eulderink MD, PhD, J. Kreuning MD, PhD, H. G. Gooszen MD, PhD & C. B. H. W. Lamers MD, PhD

  3. Department of Radiology, Leiden, The Netherlands

    P. P. Tak MD, C. M. Van Duinen MD, P. Bun MD, F. Eulderink MD, PhD, J. Kreuning MD, PhD, H. G. Gooszen MD, PhD & C. B. H. W. Lamers MD, PhD

  4. Department of Surgery, University Hospital Leiden, Leiden, The Netherlands

    P. P. Tak MD, C. M. Van Duinen MD, P. Bun MD, F. Eulderink MD, PhD, J. Kreuning MD, PhD, H. G. Gooszen MD, PhD & C. B. H. W. Lamers MD, PhD

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  1. P. P. Tak MD
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  2. C. M. Van Duinen MD
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Tak, P.P., Van Duinen, C.M., Bun, P. et al. Pneumatosis cystoides intestinalis in intestinal pseudoobstruction. Digest Dis Sci 37, 949–954 (1992). https://doi.org/10.1007/BF01300397

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  • DOI: https://doi.org/10.1007/BF01300397

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