Severe inflammatory ileitis resulting in ileal perforation in association with combination immune checkpoint blockade

Ali Abdulnabi Suwaidan1,2, Cathy J Richards3, Kirsten Boyle4

  • 1Department of Oncology, University Hospitals of Leicester NHS Trust, Leicester, UK.

BMJ Case Reports
|April 7, 2018
PubMed

Immune checkpoint inhibitors have become standard of care in metastatic malignant melanoma management. Despite superior effectiveness to chemotherapy, significant immune-related adverse events (irAE) may occur, particularly if used in combination. Gastrointestinal irAEs were reported with different patterns of involvement. Here, we report the case of a patient who had ileal perforation as a complication of terminal ileitis, without colitis, induced by combination immune checkpoint blockade.

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