Digestive Diseases and Sciences

, 53:217

Pneumatosis Intestinalis and Portal Venous Gas Without Bowel Ischemia in a Patient Treated with Irinotecan and Cisplatin

Authors

  • David Kung
    • Brigham and Women’s HospitalHarvard Medical School
    • Brigham and Women’s HospitalHarvard Medical School
  • Rodney K. Chan
    • Brigham and Women’s HospitalHarvard Medical School
  • Melissa L. Ericsson
    • Western Connecticut State University
  • Mandeep S. Saund
    • Brigham and Women’s HospitalHarvard Medical School
Article

DOI: 10.1007/s10620-007-9846-9

Cite this article as:
Kung, D., Ruan, D.T., Chan, R.K. et al. Dig Dis Sci (2008) 53: 217. doi:10.1007/s10620-007-9846-9

Abstract

Pneumatosis intestinalis and gas within the portal venous system are findings predictive of bowel ischemia. The etiologies of these alarming radiographic signs are diverse and not all causes require emergent surgical intervention. The combination of pneumatosis intestinalis, portal venous gas, and acidosis typically portends bowel ischemia and inevitable necrosis. This case report is the first description of benign pneumatosis and portal venous gas secondary to irinotecan and cisplatin.

Keywords

Pneumatosis intestinalisPortal venous gasIrinotecan

Copyright information

© Springer Science+Business Media, LLC 2007