A rare cause of acute abdomen in the ED: Chemotherapy-induced pneumatosis intestinalis

Pneumatosis intestinalis (PI) and portomesenteric venous gas (PVG) refers to the presence of air within the intestinal wall and portomesenteric vessels. Most of the time, it is associated with mesenteric ischemia that requires immediate surgical intervention as it has high mortality rate. It may also be seen secondary to various conditions, including infections, surgeries, and some chemotherapeutic drugs. A 61-year old-male was admitted to our emergency department complaining of abdominal pain after chemotherapy. Radiological evaluation of the patient demonstrated massive PVG and PI. Patient underwent urgent surgery due to the possibility of intestinal ischemia and infarction, but no necrosis was identified Chemotherapeutic drug-induced PI and PVG was the final diagnosis. Although PI and PVG are signs of mesenteric ischemia and intestinal necrosis most the of time, chemotherapeutic drugs may also cause PI and PVG rarely. Recent history of chemotheraphy and absence of any mesenteric vascular occlusion may be the diagnostic clue. Copyright (C) 2017 The Emergency Medicine Association of Turkey. Production and hosting by Elsevier B.V. on behalf of the Owner. This is an open access article under the CC BY-NC-ND license.

Yazar Ozturk, Mesut
Camlidag, Ilkay
Nural, Mehmet Selim
Ozbalci, Gokhan Selcuk
Bekci, Tumay
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/1983
Tek Biçim Adres 10.1016/j.tjem.2017.05.005
Konu Başlıkları Pneumatosis intestinalis
Portomesenteric venous gas
Acute abdomen
Antineoplastic agents
Computed tomography
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
PubMed İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı TURKISH JOURNAL OF EMERGENCY MEDICINE
Dergi Cilt Bilgisi 17
Dergi Sayısı 4
Sayfalar 151 - 153
Yayın Yılı 2017
Eser Adı
[dc.title]
A rare cause of acute abdomen in the ED: Chemotherapy-induced pneumatosis intestinalis
Yazar
[dc.contributor.author]
Ozturk, Mesut
Yazar
[dc.contributor.author]
Camlidag, Ilkay
Yazar
[dc.contributor.author]
Nural, Mehmet Selim
Yazar
[dc.contributor.author]
Ozbalci, Gokhan Selcuk
Yazar
[dc.contributor.author]
Bekci, Tumay
Yayın Yılı
[dc.date.issued]
2017
Yayıncı
[dc.publisher]
ELSEVIER SCIENCE BV
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Pneumatosis intestinalis (PI) and portomesenteric venous gas (PVG) refers to the presence of air within the intestinal wall and portomesenteric vessels. Most of the time, it is associated with mesenteric ischemia that requires immediate surgical intervention as it has high mortality rate. It may also be seen secondary to various conditions, including infections, surgeries, and some chemotherapeutic drugs. A 61-year old-male was admitted to our emergency department complaining of abdominal pain after chemotherapy. Radiological evaluation of the patient demonstrated massive PVG and PI. Patient underwent urgent surgery due to the possibility of intestinal ischemia and infarction, but no necrosis was identified Chemotherapeutic drug-induced PI and PVG was the final diagnosis. Although PI and PVG are signs of mesenteric ischemia and intestinal necrosis most the of time, chemotherapeutic drugs may also cause PI and PVG rarely. Recent history of chemotheraphy and absence of any mesenteric vascular occlusion may be the diagnostic clue. Copyright (C) 2017 The Emergency Medicine Association of Turkey. Production and hosting by Elsevier B.V. on behalf of the Owner. This is an open access article under the CC BY-NC-ND license.
Açıklama
[dc.description]
WOS: 000424190600008
Açıklama
[dc.description]
PubMed: 29464220
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Pneumatosis intestinalis
Konu Başlıkları
[dc.subject]
Portomesenteric venous gas
Konu Başlıkları
[dc.subject]
Acute abdomen
Konu Başlıkları
[dc.subject]
Antineoplastic agents
Konu Başlıkları
[dc.subject]
Computed tomography
Haklar
[dc.rights]
info:eu-repo/semantics/openAccess
ISSN
[dc.identifier.issn]
2452-2473
İlk Sayfa Sayısı
[dc.identifier.startpage]
151
Son Sayfa Sayısı
[dc.identifier.endpage]
153
Dergi Adı
[dc.relation.journal]
TURKISH JOURNAL OF EMERGENCY MEDICINE
Dergi Sayısı
[dc.identifier.issue]
4
Dergi Cilt Bilgisi
[dc.identifier.volume]
17
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.1016/j.tjem.2017.05.005
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/1983
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
24
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
18 Ocak 2024 14:03
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Tıklayınız
intestinal ischemia mesenteric necrosis chemotherapeutic portomesenteric Recent absence history chemotheraphy rarely Pneumatosis Although occlusion diagnosis drug-induced Chemotherapeutic identified infarction vascular diagnostic license BY-NC-ND article access behalf Elsevier hosting Production Turkey Association Medicine Emergency Copyright possibility
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