Abdominal complications of chemotherapy in pediatric malignancies: imaging findings

被引:7
作者
Khoury, Nabil J. [1 ]
Kanj, Vladimir [1 ]
Abboud, Miguel [2 ]
Muwakkit, Samar [2 ]
Birjawi, Ghina A. [1 ]
Haddad, Maurice C. [1 ]
机构
[1] Amer Univ Beirut, Med Ctr, Dept Diagnost Radiol, Beirut, Lebanon
[2] Amer Univ Beirut, Med Ctr, Children Canc Ctr Lebanon, Beirut, Lebanon
关键词
Pediatric; Malignancy; Chemotherapy; Abdominal imaging; ACUTE LYMPHOBLASTIC-LEUKEMIA; VENOOCCLUSIVE DISEASE; LIVER-DISEASE; CHILDREN; THERAPY; CHOLELITHIASIS; SIDEROSIS; CT;
D O I
10.1016/j.clinimag.2008.10.029
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Objective: To describe the imaging findings of abdominal complications caused by chemotherapy in pediatric cancer patients. Subjects and Methods: Radiology studies of 243 patients treated in our Children Cancer Center were reviewed, 164 of whom had abdominal studies. Medical records of 54 patients with abnormal imaging findings were studied. Results: Ultrasound and/or CT findings showed the following complications: ( 1) gallbladder sludge/crystals (n=13), gallstones (n=8), cholecystitis (n=3); ( 2) liver steatosis (n=23), siderosis (n=1), veno-occlusive disease (n=2); ( 3) pancreatitis (n=7); ( 4) typhlitis (n=12), esophagitis (n=2). Conclusion: Awareness of these complications is essential for appropriate management, decreasing their mortality and morbidity. (C) 2009 Elsevier Inc. All rights reserved.
引用
收藏
页码:253 / 260
页数:8
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