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Radiological imaging change in a malignant bowel obstruction patient treated with octreotide
1Palliative Care Unit, Shakaihoken Kobe Central Hospital, 2-1-1 Souyama-cho, Kita-ku, Kobe, Hyogo 651-1145, Japan. shinjo@doctor.email.ne.jp
Introduction:
Malignant bowel obstruction (MBO) is a complication in advanced cancer patients with abdominal and pelvic malignancy. Recent research has established the efficacy of octreotide for MBO-related symptom relief. The mechanism that octreotide increases water absorption in case of MBO has not been demonstrated except for experimental animal and normal human model.
Case Report:
We present a 60-year-old man with pancreatic cancer and MBO treated with octreotide. Radiological imaging showed the disappearance of large-volume fluid retention in the small intestine with alleviating vomiting within 2 days. This radiological change might result from the effect of octreotide increasing water absorption in intestine tract.
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