Pneumatosis cystoides intestinalis with pneumoperitoneum and pneumoretroperitoneum following chemotherapy.
Pneumatosis cystoides intestinalis (PCI) is a relatively rare, mostly benign, condition. We report a case of chemotherapy-induced PCI with free retro- and intraperitoneal gas in a 17-year-old man with acute lymphoblastic leukemia. Chest radiography and upright abdominal radiography showed free intra- and retroperitoneal gas; computed tomography demonstrated subserosal gas collections. Conservative treatment with oxygen, metronidazol, and parenteral alimentation was performed, and PCI resolved within 2 weeks.
Kopp
A F
AF
Department of Diagnostic Radiology, Eberhard-Karls-Universität Tübingen, Germany.
Grönewäller
E
E
Laniado
M
M
D000293:Adolescent; D000903:Antibiotics, Antineoplastic / Q000008:administration & dosage; D000970:Antineoplastic Agents / Q000008:administration & dosage; D000972:Antineoplastic Agents, Phytogenic / Q000008:administration & dosage; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000009:adverse effects*; D001215:Asparaginase / Q000008:administration & dosage; D003630:Daunorubicin / Q000008:administration & dosage; D006801:Humans; D008297:Male; D008795:Metronidazole / Q000627:therapeutic use; D010102:Oxygen Inhalation Therapy; D010288:Parenteral Nutrition; D011006:Pneumatosis Cystoides Intestinalis / Q000139:chemically induced* / Q000000981:diagnostic imaging / Q000628:therapy; D011027:Pneumoperitoneum / Q000139:chemically induced* / Q000000981:diagnostic imaging / Q000628:therapy; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000188:drug therapy*; D011859:Radiography; D012188:Retropneumoperitoneum / Q000139:chemically induced* / Q000000981:diagnostic imaging / Q000628:therapy; D014750:Vincristine / Q000008:administration & dosage
D000903:Antibiotics, Antineoplastic; D000970:Antineoplastic Agents; D000972:Antineoplastic Agents, Phytogenic; D008795:Metronidazole; D014750:Vincristine; D001215:Asparaginase; D003630:Daunorubicin