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권낙기 ( Nak Ki Kwun ),민준기 ( Jun Ki Min ),박경수 ( Kyung Su Park ),전은정 ( Eun Jung Jun ),조철수 ( Chul Soo Cho ),변재영 ( Jae Young Pyun ),김호연 ( Ho Youn Kim ) 대한류마티스학회 1998 대한류마티스학회지 Vol.5 No.2
With varying frequency, systemic sclerosis may involve nearly all parts of the gastrointestinal tract. Pneumatosis cystoides intestinalis(PCI) which is characterized by the presence of multiple gaseous cysts in the intestinal wall of either subserosal or submucosal location rarely occurs in patients with systemic sclerosis. PCI may be asymptomatic, but weight loss, abdominal distension, and nausea are frequent symptoms secondary to sytemic sclerosis. Although the mechanisms responsible for the development of PCI in systemic sclreosis remains unclear, bacterial overgrowth, mucosal damage secondary to ischemic bowel disease are considered to be possible mechanisms. It is a benign condition that often responds to conservative management, however it may be a harbinger of end stage disease particularly in systemic sclerosis. Here, we report a case of PCI accompanying by systemic sclerosis with brief review of literatures.