| Autor: |
Hiroshi, Ohara, Yukako, Kato, Masaru, Nakano, Yasuhisa, Ishii, Hiroshi, Serizawa, Noriaki, Watanabe, Kanji, Wakabayashi, Satoshi, Tsunematsu, Naoki, Kumagai, Kanji, Tsuchimoto, Toshifumi, Hibi |
| Rok vydání: |
2011 |
| Předmět: |
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| Zdroj: |
Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology. 108(7) |
| ISSN: |
0446-6586 |
| Popis: |
A 26-year-old Japanese woman was admitted to the hospital because of fever and general fatigue. A diagnosis of acute hepatitis B was given because of high levels of transaminase and positivity for HBs-Ag, HBe-Ag and HBc-IgM. On the 2nd day progression to fulminant hepatitis was suspected, and steroid pulse therapy, cyclosporin, entecavir, and interferon-β were started. Her laboratory data improved until transaminase showed an increase on 18th day, and steroid was once again administered. Abdominal CT scan and plain abdominal X-ray showed pneumatosis cystoides intestinalis (PCI) mainly along the ascending colon without any symptoms. After discontinuation of steroid therapy, abnormal gas gradually disappeared. This is a very rare case of PCI, which may have been caused by short-term steroid pulse therapy. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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