title: Pneumatosis intestinalis with free air mimicking intestinal perforation in a bone marrow transplant patient.
abstract: A case of pneumatosis intestinalis with perforation is reported in a patient after bone marrow allograft for chronic myeloid leukemia. Risk factors included the transplant, prolonged immunosuppression and neutropenia, graft-versus-host disease, extended use of corticosteroids, infection and lower gastrointestinal endoscopic biopsy. The literature is reviewed and a management plan for patients presenting with this complication is discussed.
authors.affiliation: Department of Medicine, Princess Margaret Hospital, Toronto, Ontario, Canada.
authors.forename: J
authors.initials: J
authors.lastname: Lipton
authors.forename: B
authors.initials: B
authors.lastname: Patterson
authors.forename: R
authors.initials: R
authors.lastname: Mustard
authors.forename: I
authors.initials: I
authors.lastname: Tejpar
authors.forename: G
authors.initials: G
authors.lastname: Fyles
authors.forename: J
authors.initials: J
authors.lastname: Meharchand
authors.forename: H
authors.initials: H
authors.lastname: Messner
mesh_terms: D000328:Adult; D016026:Bone Marrow Transplantation / Q000009:adverse effects*; D006086:Graft vs Host Disease / Q000209:etiology; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology* / Q000628:therapy; D008297:Male; D011006:Pneumatosis Cystoides Intestinalis / Q000209:etiology* / Q000628:therapy; D014184:Transplantation, Homologous