Pneumatosis intestinalis with free air mimicking intestinal perforation in a bone marrow transplant patient.
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.
Lipton
J
J
Department of Medicine, Princess Margaret Hospital, Toronto, Ontario, Canada.
Patterson
B
B
Mustard
R
R
Tejpar
I
I
Fyles
G
G
Meharchand
J
J
Messner
H
H
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