PMC5478575_01
PMC5478575_02
(a) Abdominal computed tomography in Case 2 before treatment for pneumatosis cystoides intestinalis shows free gas in the peritoneum (arrow) and gas in the large intestinal walls. (b) Abdominal computed tomography in Case 2 after treatment of pneumatosis cystoides intestinalis shows no free gas in the peritoneum and improvement of the gas in the large intestinal walls.
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Abdominal CT showed free gas in the peritoneum and gas in the large intestinal wall (Fig. 1a). At two weeks after starting treatment, her laboratory and CT findings were improved (Fig. 1b).
PMC5478575_03
(a) Abdominal X-ray in Case 3 shows massive gas in the ascending colon. (b) Abdominal computed tomography in Case 3 shows pneumoderma in the abdominal skin of the right side (arrow) and gas in the ascending colon.
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Abdominal X-ray showed massive gas accumulation in the ascending colon, and abdominal CT showed pneumoderma in the abdominal skin on the right side and gas in the ascending colon (Fig. 2).
PMC5478575_04
(a) Abdominal X-ray in Case 4 shows massive gas and dilated intestines. (b) Computed tomography in Case 4 shows massive gas in the intestines and gas in the intestinal walls.
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CK, 437 U/L; TC, 126 mg/dL; CRP, 5.15 mg/dL; and negative results for anti-Jo-1 antibody, anti-Scl-70 antibody, and anti-centromere antibody. Abdominal X-ray showed massive gas accumulation and dilation of the intestines (Fig. 3a). CT showed massive gas accumulation in the intestines and gas in the intestinal walls (Fig. 3b).