PNEUMATOSIS-CYSTOIDES-INTESTINALIS AFTER CHEMOTHERAPY FOR HEMATOLOGICAL MALIGNANCIES - REPORT OF 4 CASES

被引:22
作者
HASHIMOTO, S
SAITOH, H
WADA, K
KOBAYASHI, T
FURUSHIMA, H
KAWAI, H
SHINBO, T
FUNAKOSHI, K
TAKAHASHI, H
SHIBATA, A
机构
[1] First Department of Internal Medicine, Niigata University School of Medicine, Niigata
[2] Third Department of Internal Medicine, Niigata University School of Medicine, Niigata
关键词
PCI; LEUKEMIA; LYMPHOMA; CHEMOTHERAPY;
D O I
10.2169/internalmedicine.34.212
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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.
引用
收藏
页码:212 / 215
页数:4
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