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Case Report: A Rare Condition of Abdominal Pain: Chemotherapy Induced Portal Vein Pneumatosis Mimicking the Bowel Necrosis

Portal vein pneumatosis is the presence of air in the portal venous system, which is one of the classic radiologic features of bowel ischemia or necrosis. However, there are several other morbidities that can have portal vein pneumatosis as a complication. This is a case of a 44-year-old man who suf...

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Autores principales: Chen, Chong-Cheng, Chen, Yi, Zhang, Yue-Xin, Chen, Ze-Hua, Yang, Kun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7938891/
https://www.ncbi.nlm.nih.gov/pubmed/33693027
http://dx.doi.org/10.3389/fsurg.2021.620908
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author Chen, Chong-Cheng
Chen, Yi
Zhang, Yue-Xin
Chen, Ze-Hua
Yang, Kun
author_facet Chen, Chong-Cheng
Chen, Yi
Zhang, Yue-Xin
Chen, Ze-Hua
Yang, Kun
author_sort Chen, Chong-Cheng
collection PubMed
description Portal vein pneumatosis is the presence of air in the portal venous system, which is one of the classic radiologic features of bowel ischemia or necrosis. However, there are several other morbidities that can have portal vein pneumatosis as a complication. This is a case of a 44-year-old man who suffered from severe abdominal pain after chemotherapy for soft tissue sarcoma of his left hip. The physical signs, laboratory findings, as well as the portal venous pneumatosis sign of the CT scan strongly indicated the probability of bowel necrosis and subjected the treatment decision of the patient finally to laparotomy. However, nothing abnormal except a segment of swollen small intestine was detected. Caution should be kept in mind when encountering a patient with suspected bowel necrosis following chemotherapy since several chemotherapeutic agents could cause portal vein pneumatosis. Diagnostic laparoscopy might be a better option for such cases.
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spelling pubmed-79388912021-03-09 Case Report: A Rare Condition of Abdominal Pain: Chemotherapy Induced Portal Vein Pneumatosis Mimicking the Bowel Necrosis Chen, Chong-Cheng Chen, Yi Zhang, Yue-Xin Chen, Ze-Hua Yang, Kun Front Surg Surgery Portal vein pneumatosis is the presence of air in the portal venous system, which is one of the classic radiologic features of bowel ischemia or necrosis. However, there are several other morbidities that can have portal vein pneumatosis as a complication. This is a case of a 44-year-old man who suffered from severe abdominal pain after chemotherapy for soft tissue sarcoma of his left hip. The physical signs, laboratory findings, as well as the portal venous pneumatosis sign of the CT scan strongly indicated the probability of bowel necrosis and subjected the treatment decision of the patient finally to laparotomy. However, nothing abnormal except a segment of swollen small intestine was detected. Caution should be kept in mind when encountering a patient with suspected bowel necrosis following chemotherapy since several chemotherapeutic agents could cause portal vein pneumatosis. Diagnostic laparoscopy might be a better option for such cases. Frontiers Media S.A. 2021-02-22 /pmc/articles/PMC7938891/ /pubmed/33693027 http://dx.doi.org/10.3389/fsurg.2021.620908 Text en Copyright © 2021 Chen, Chen, Zhang, Chen and Yang. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Chen, Chong-Cheng
Chen, Yi
Zhang, Yue-Xin
Chen, Ze-Hua
Yang, Kun
Case Report: A Rare Condition of Abdominal Pain: Chemotherapy Induced Portal Vein Pneumatosis Mimicking the Bowel Necrosis
title Case Report: A Rare Condition of Abdominal Pain: Chemotherapy Induced Portal Vein Pneumatosis Mimicking the Bowel Necrosis
title_full Case Report: A Rare Condition of Abdominal Pain: Chemotherapy Induced Portal Vein Pneumatosis Mimicking the Bowel Necrosis
title_fullStr Case Report: A Rare Condition of Abdominal Pain: Chemotherapy Induced Portal Vein Pneumatosis Mimicking the Bowel Necrosis
title_full_unstemmed Case Report: A Rare Condition of Abdominal Pain: Chemotherapy Induced Portal Vein Pneumatosis Mimicking the Bowel Necrosis
title_short Case Report: A Rare Condition of Abdominal Pain: Chemotherapy Induced Portal Vein Pneumatosis Mimicking the Bowel Necrosis
title_sort case report: a rare condition of abdominal pain: chemotherapy induced portal vein pneumatosis mimicking the bowel necrosis
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7938891/
https://www.ncbi.nlm.nih.gov/pubmed/33693027
http://dx.doi.org/10.3389/fsurg.2021.620908
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