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Gastric pneumatosis following polychemotherapy
Thilo Zander1, Verena Briner, Florian Buck
1Division of Medical Oncology, Kantonsspital Luzern, 6000 Lucerne 16, Switzerland.
A rare case of acute gastric pneumatosis, a complication of palliative chemotherapy, was observed in a 62-year-old man. This condition exclusively affected the stomach wall, portal veins, and spleen.
Area of Science:
- Gastroenterology
- Oncology
- Radiology
Background:
- Lung cancer is a leading cause of cancer mortality globally.
- Acute gastric pneumatosis is an uncommon condition with various clinical associations.
- Chemotherapy can lead to rare gastrointestinal complications.
Purpose of the Study:
- To report a unique case of acute gastric pneumatosis.
- To highlight a rare complication of palliative chemotherapy.
- To describe involvement of the stomach wall, portal veins, and spleen.
Main Methods:
- Case report presentation.
- Review of clinical history and diagnostic imaging.
- Literature review for similar cases.
Main Results:
- A 62-year-old male patient undergoing palliative chemotherapy developed acute gastric pneumatosis.
- The pneumatosis was confined to the stomach wall.
- Associated findings included involvement of the portal veins and spleen.
Conclusions:
- Chemotherapy can precipitate rare gastrointestinal complications like gastric pneumatosis.
- This case represents the first documented instance of chemotherapy-related gastric pneumatosis involving the portal veins and spleen.
- Further investigation into chemotherapy-induced gastrointestinal complications is warranted.
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