PNEUMATOSIS CYSTOIDES INTESTINALIS ASSOCIATED WITH ULCERATIVE COLITIS : REPORT OF A CASE

Abstract

A 42-year-old man with ulcerative colitis (UC) had been treated with salazosulfapyridine (SASP) and probiotics for the previous 19 years since the initial diagnosis in 1990. He had a good clinical course. Colonoscopy was performed in 2006 to examine the etiology of hemorrhagic diarrhea and abdominal pain with multiple spheroid-shaped elevated lesions being observed in the ascending colon. The patient was diagnosed as having pneumatosis cystoides intestinalis(PCI). Colonoscopy was performed in 2009 for the positive fecal occult blood test, and proved to be remission of the UC. The PCI lesions were however seen to have fused and had increased in size, up to 20 mm in diameter. We report herein on our case using literature reviews on PCI, complicated with UC, and we show that only 21 cases with these findings have been reported.