Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
Pneumatosis Cystoides Intestinalis after Chemotherapy for Hematological Malignancies: Report of 4 Cases
Shigeo HASHIMOTOHiroyuki SAITOHKen WADATatsuro KOBAYASHIHiroshi FURUSHIMAHirokazu KAWAIToshimitsu SHINBOKazuhiro FUNAKOSHIHoyu TAKAHASHIAkira SHIBATA
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1995 Volume 34 Issue 3 Pages 212-215

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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.
(Internal Medicine 34: 212-215, 1995)

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© The Japanese Society of Internal Medicine
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