Pneumatosis Intestinalis and Portal Venous Gas Without Bowel Ischemia in a Patient Treated with Irinotecan and Cisplatin

被引：0
作者：
David Kung
Daniel T Ruan
Rodney K. Chan
Melissa L. Ericsson
Mandeep S. Saund
机构：
[1] Harvard Medical School,Brigham and Women’s Hospital
[2] Western Connecticut State University,undefined
来源：
Digestive Diseases and Sciences | 2008年 / 53卷
关键词：
Pneumatosis intestinalis; Portal venous gas; Irinotecan;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
Pneumatosis intestinalis and gas within the portal venous system are findings predictive of bowel ischemia. The etiologies of these alarming radiographic signs are diverse and not all causes require emergent surgical intervention. The combination of pneumatosis intestinalis, portal venous gas, and acidosis typically portends bowel ischemia and inevitable necrosis. This case report is the first description of benign pneumatosis and portal venous gas secondary to irinotecan and cisplatin.
引用
收藏
相关论文
共 86 条
[1]  
Schulze CG(1995)Hepatic portal venous gas: imaging modalities and clinical significance Acta Radiol 36 377-380
[2]  
Blum U(2003)Pneumatosis intestinalis in patients with ischemia: correlation of CT findings with viability of the bowel AJR Am J Roentgenol 180 733-736
[3]  
Haag K(2000)CT and MR imaging findings of bowel ischemia from various primary causes Radiographics 20 29-42
[4]  
Kernagis LY(2001)Pneumatosis intestinalis following cytotoxic or immunosuppressive treatment Digestion 64 128-132
[5]  
Levine MS(2003)Hepatic portal gas in adults Arch Surg 138 1367-1370
[6]  
Jacobs JE(1990)Pneumatosis intestinalis: surgical management and clinical outcome Ann Surg 212 160-165
[7]  
Rha SE(1978)Hepatic-portal venous gas in adults: etiology, pathophysiology and clinical significance Ann Surg 187 281-287
[8]  
Ha HK(1986)Gas in the hepatic portal veins Br J Surg. 73 172-176
[9]  
Lee SH(2001)Pneumatosis intestinalis and portomesenteric venous gas in intestinal ischemia: correlation of CT findings with severity of ischemia and clinical outcome AJR Am J Roentgenol. 177 1319-1323
[10]  
Kim JH(2004)New approaches to prevent intestinal toxicity of irinotecan-based regimens Cancer Treat Rev 30 555-562
123456789