[Intestinal pneumatosis and portomesenteric gas: a case review].
Intestinal pneumatosis (presence of gas in the intestinal wall and in the portomeseteric veins) is an infrequent clinical situation that has been associated with extended bowel necrosis and fatal outcome. However, there are other reasons that can justify these findings without such an outcome. Recent advances in diagnostic imaging techniques, especially multislice computerized tomography (MSCT), have allowed precise and quick diagnosis of these entities. In this article, we review the MSCT radiological manifestations of intestinal pneumatosis, as well as the different diagnoses related with the findings observed in a patient diagnosed with esophageal carcinoma under chemotherapy treatment.
Alonso-Burgos
A
A
Servicio de Radiologia, Clínica Universitaria, Univesidad de Navarra, Pamplona. alonso@unav.es
Nogueral
J J
JJ
Cosín
O
O
Viudez
A
A
Pueyo
J
J
Elorz
M
M
Aquerreta
J D
JD
D000230:Adenocarcinoma / Q000150:complications / Q000188:drug therapy / Q000532:radiotherapy; D000890:Anti-Infective Agents / Q000627:therapeutic use; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000009:adverse effects / Q000627:therapeutic use; D000069287:Capecitabine; D003131:Combined Modality Therapy; D003841:Deoxycytidine / Q000008:administration & dosage / Q000009:adverse effects / Q000031:analogs & derivatives; D000077143:Docetaxel; D004938:Esophageal Neoplasms / Q000150:complications / Q000188:drug therapy / Q000532:radiotherapy; D005472:Fluorouracil / Q000008:administration & dosage / Q000009:adverse effects / Q000031:analogs & derivatives; D005740:Gases; D006801:Humans; D007410:Intestinal Diseases / Q000000981:diagnostic imaging* / Q000209:etiology; D007422:Intestines / Q000098:blood supply; D007511:Ischemia / Q000139:chemically induced / Q000150:complications; D008642:Mesenteric Veins / Q000000981:diagnostic imaging; D008643:Mesentery / Q000098:blood supply; D009944:Organoplatinum Compounds / Q000008:administration & dosage / Q000009:adverse effects; D000077150:Oxaliplatin; D011169:Portal Vein / Q000000981:diagnostic imaging; D043823:Taxoids / Q000008:administration & dosage / Q000009:adverse effects; D036542:Tomography, Spiral Computed
D000890:Anti-Infective Agents; D005740:Gases; D009944:Organoplatinum Compounds; D043823:Taxoids; D000077150:Oxaliplatin; D003841:Deoxycytidine; D000077143:Docetaxel; D000069287:Capecitabine; D005472:Fluorouracil