A severe case of pneumatosis cystoides intestinalis with massive accumulation of gas outside the gastrointestinum
| Autor: | O Meissner, F Tatò, M Mack, D Schlöndorff |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Pathology
medicine.medical_specialty Constipation medicine.medical_treatment Asymptomatic Lactulose Pneumoperitoneum Risk Factors Leukemia Myelogenous Chronic BCR-ABL Positive Pneumatosis Cystoides Intestinalis Antineoplastic Combined Chemotherapy Protocols Trimethoprim Sulfamethoxazole Drug Combination Medicine Humans Aged Chemotherapy business.industry Gastroenterology medicine.disease Trimethoprim Pneumonia Female medicine.symptom business Blast Crisis Tomography X-Ray Computed medicine.drug |
| Zdroj: | Zeitschrift fur Gastroenterologie. 39(9) |
| ISSN: | 0044-2771 |
| Popis: | We report an unusually severe case of pneumatosis cystoides intestinalis in an adult female patient undergoing chemotherapy for lymphoblastic crisis in chronic myelogenous leukemia. An impressive accumulation of gas was not only detected within the intestinal wall and mesentery but also in the peritoneum, retroperitoneum, mediastinum and cervical subcutaneous tissue. The patient was almost asymptomatic and fully recovered within a few days of treatment. In addition to chemotherapy, the patient was receiving trimethoprim/sulfamethoxazole for pneumocystis carinii pneumonia and lactulose for constipation. Mucosal damage due to chemotherapy and depletion of tetrahydrofolic acid, changes in bowel flora induced by antibiotic treatment, and the intake of unabsorbable carbohydrates may be responsible for the severity of the disease. |
| Databáze: | OpenAIRE |
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