Pneumatosis Intestinalis and Inferior Vena Caval Gas in a Patient with Neutropenic Enterocolitis

• 영문명: Pneumatosis Intestinalis and Inferior Vena Caval Gas in a Patient with Neutropenic Enterocolitis
• 발행기관: 조선대학교 의학연구원
• 저자명: Jong Ho Yoon Geon Wook Kang Chae Ho Moon Ha Ra Gu Hong Seok Choi Jung Mi Chang Dong Yeop Shin Sung H
• 간행물 정보: 『The Medical Journal of Chosun University』제38권 제4호, 189~192쪽, 전체 4쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2013.12.31

영문 초록

Neutropenic enterocolitis (NE), the most serious gastrointestinal complication, has been reported as a clinical syndrome that occurs in the setting of disease- or chemotherapy-induced neutropenia. Complications of NE include bowel necrosis with perforation, fistula, stenosis, massive bleeding, abscess formation, and pneumatosis intestinalis (PI). Most physicians recommend initial conservative management with bowel rest, intravenous fluids, total parenteral nutrition, broad-spectrum antibiotics, and normalization of neutrophil counts. Surgical intervention is recommended in the event of obstruction, perforation, persistent gastrointestinal bleeding despite correction of thrombocytopenia and coagulopathy, or clinical deterioration. We experienced a patient whose abdominal computed tomography scan showed pneumoretroperitoneum, intramural gas in the colon, and inferior vena caval gas. Her condition improved after treatment with granulocyte colony-stimulating factor and broad-spectrum antibiotics. We report on this case along with a review of the literature.

목차

Introduction

Case report

Discussion

키워드

Neutropenic Enterocolitis Vena cava Lymphoma