Pneumatosis Cystoides Intestinalis after Chemotherapy for Hematological Malignancies: Report of 4 Cases

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Author(s)

    • HASHIMOTO Shigeo
    • The First Department of Internal Medicine, Niigata University School of Medicine
    • SAITOH Hiroyuki
    • The First Department of Internal Medicine, Niigata University School of Medicine
    • WADA Ken
    • The First Department of Internal Medicine, Niigata University School of Medicine
    • KOBAYASHI Tatsuro
    • The First Department of Internal Medicine, Niigata University School of Medicine
    • FURUSHIMA Hiroshi
    • The First Department of Internal Medicine, Niigata University School of Medicine
    • KAWAI Hirokazu
    • The First Department of Internal Medicine, Niigata University School of Medicine
    • SHINBO Toshimitsu
    • The First Department of Internal Medicine, Niigata University School of Medicine
    • FUNAKOSHI Kazuhiro
    • The Third Department of Internal Medicine, Niigata University School of Medicine
    • TAKAHASHI Hoyu
    • The First Department of Internal Medicine, Niigata University School of Medicine
    • SHIBATA Akira
    • The First Department of Internal Medicine, Niigata University School of Medicine

Abstract

Pneumatosis cystoides intestinalis (PCI) is known to be a relatively rare condition which is characterized by gas cysts in the gastrointestinal mucosa. We treated four cases of PCI accompanied by hematological malignancies during chemotherapy treatment. All cases suffered from abdominal discomfort. Abdominal X-ray films revealed gas cysts in the intestine. PCI was observed during leukocytopenic states, and three cases had septicemia. Etoposide was administered to three cases, and prednisolone to all cases. It is considered that PCI sometimes occurs in patients with hematological malignancies during a period of leukocytopenia, and may be caused by intestinal mucosal damage due to myelosuppressive agents and immunosuppression from prednisolone.<br>(Internal Medicine 34: 212-215, 1995)

Journal

  • Internal Medicine

    Internal Medicine 34(3), 212-215, 1995-03-01

    The Japanese Society of Internal Medicine

References:  12

Cited by:  5

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