A Case of Acute Gastric Pneumatosis Associated with Advanced Pancreatic Cancer.
- Author:
Dong Jae HAN
1
;
Hee Soon PARK
;
Ho Sung RHEE
;
Jae Man PARK
;
Jong Haw KIM
;
Kyu Taek LEE
;
Yun Ho JUNG
Author Information
1. Department of Internal Medicine, Soonchunhyang University Cheonan Hospital, Soonchunhang University College of Medicine, Cheonan, Korea. yoonho7575@naver.com
- Publication Type:Case Report
- Keywords:
Chemotherapy;
Drug therapya
- MeSH:
Aged;
Drug Therapy;
Gastric Mucosa;
Humans;
Pancreatic Neoplasms*;
Parenteral Nutrition;
Stomach;
Erlotinib Hydrochloride
- From:Soonchunhyang Medical Science
2013;19(2):149-152
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pneumatosis intestinalis (PI) is a rare condition that is characterized by multiple subserosal and submucosal gas-filled areas in the bowel wall. Gastric pneumatosis describes the presence of gas within the stomach wall. This is caused by a disruption in gastric mucosa leading to the dissection of air into the wall. The extract cause of PI is still unknown; however, it may be associated with coexisting disease. Gastric PI has been rarely documented. So, we report on a 75-year-old man with acute gastric pneumatosis following his palliative chemotherapy. He underwent 3rd cycle of gemcitabine and erlotinib 3 weeks prior to admission. The treatment was started with nasogastric tube insertion and parenteral nutrition. Then, gastric pneumatosis was improved. However, the patient was died because of worsening underline disease and general condition. We suggest that chemotherapy should be considered the case of pneumatosis and careful X-ray interpretation will be necessary for detecting the pneumatosis earlier.
