腸管嚢胞様気腫を合併したインスリン非依存型糖尿病の1例

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  • A Case of Non-Insulin-Dependent Diabetes Mellitus with Pneumatosis Cystoides Intestinalis.

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A 72-year-old man with non-insulin-dependent diabetes mellitus (NIDDM) of 18 years' duration was admitted to our hospital in January 1997 because of constipation, abdominal pain, and diarrhea. He had a past history of suspected diabetic gastroenteropathy. Abdominal plain X-ray film and CT scanning showed gas-filled cysts in the wall of the small intestine. The cysts disappeared with starvation care on the seventh day after admission. Because of the image findings and clinical course, the patient was diagnosed as having pneumatosis cystoides intestinalis (PCI). The reason for obstruction of the intestine was not revealed by small-intestine fluoroscopy or total colon fiber. Diabetic retinopathy and nephropathy did not change after the occurrence of PCI, but microneurography revealed that the neuropathy was getting worse. Because numbness of the patient increased and neuropathy was worsening, it is likely that diabetic neuropathy had a connection with the occurrence of PCI. Since PCI may occur in a patient with symptoms of suspected diabetic gastroenteropathy, PCI is important for the differential diagnosis of diabetic gastroenteropathy.

収録刊行物

  • 糖尿病

    糖尿病 40 (12), 801-806, 1997

    一般社団法人 日本糖尿病学会

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