Pneumatosis Intestinalis following Radiation Esophagitis during Chemoradiotherapy for Lung Cancer: A Case Report

Pneumatosis intestinalis (PI) is a rare disease that forms emphysema lesions under the mucosa and serosa of the gastrointestinal tract. We present the first case of PI following radiation-induced esophagitis during chemoradiotherapy (CRT) for lung cancer. A 74-year-old man with severe chronic obstru...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Noriaki Ito, Takeshi Masuda, Kakuhiro Yamaguchi, Shinjiro Sakamoto, Yasushi Horimasu, Taku Nakashima, Shintaro Miyamoto, Hiroshi Iwamoto, Kazunori Fujitaka, Hironobu Hamada, Noboru Hattori
Formato:	article
Lenguaje:	EN
Publicado:	Karger Publishers 2021
Materias:	pneumatosis intestinalis lung cancer chemoradiotherapy chronic obstructive pulmonary disease esophagitis Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
Acceso en línea:	https://doaj.org/article/948c0defdcd54ef69ae7ff67e36cd18b
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:948c0defdcd54ef69ae7ff67e36cd18b
record_format	dspace
spelling	oai:doaj.org-article:948c0defdcd54ef69ae7ff67e36cd18b2021-11-11T10:40:45ZPneumatosis Intestinalis following Radiation Esophagitis during Chemoradiotherapy for Lung Cancer: A Case Report1662-657510.1159/000518315https://doaj.org/article/948c0defdcd54ef69ae7ff67e36cd18b2021-10-01T00:00:00Zhttps://www.karger.com/Article/FullText/518315https://doaj.org/toc/1662-6575Pneumatosis intestinalis (PI) is a rare disease that forms emphysema lesions under the mucosa and serosa of the gastrointestinal tract. We present the first case of PI following radiation-induced esophagitis during chemoradiotherapy (CRT) for lung cancer. A 74-year-old man with severe chronic obstructive pulmonary disease (COPD) was treated with CRT for lung cancer. During the treatment, he presented with vomiting and abdominal distention. CT showed pneumatosis from the esophagus to the small intestine. Severe radiation-induced esophagitis was observed, and gastrointestinal endoscopy revealed a circumferential esophageal ulcer. From these observations, this case was diagnosed as PI following severe esophagitis. A nasogastric tube was inserted, and conservative treatment with fasting, fluid replacement, and antibiotic was performed. Four days after the onset of PI, CT showed marked improvement of the pneumatosis. When CRT is performed for lung cancer patients, we should not only consider esophagitis but also PI. The presence of COPD may be considered a specific factor for the development of severe esophagitis and the consequent PI in this case.Noriaki ItoTakeshi MasudaKakuhiro YamaguchiShinjiro SakamotoYasushi HorimasuTaku NakashimaShintaro MiyamotoHiroshi IwamotoKazunori FujitakaHironobu HamadaNoboru HattoriKarger Publishersarticlepneumatosis intestinalislung cancerchemoradiotherapychronic obstructive pulmonary diseaseesophagitisNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENCase Reports in Oncology, Vol 14, Iss 3, Pp 1454-1459 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	pneumatosis intestinalis lung cancer chemoradiotherapy chronic obstructive pulmonary disease esophagitis Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
spellingShingle	pneumatosis intestinalis lung cancer chemoradiotherapy chronic obstructive pulmonary disease esophagitis Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Noriaki Ito Takeshi Masuda Kakuhiro Yamaguchi Shinjiro Sakamoto Yasushi Horimasu Taku Nakashima Shintaro Miyamoto Hiroshi Iwamoto Kazunori Fujitaka Hironobu Hamada Noboru Hattori Pneumatosis Intestinalis following Radiation Esophagitis during Chemoradiotherapy for Lung Cancer: A Case Report
description	Pneumatosis intestinalis (PI) is a rare disease that forms emphysema lesions under the mucosa and serosa of the gastrointestinal tract. We present the first case of PI following radiation-induced esophagitis during chemoradiotherapy (CRT) for lung cancer. A 74-year-old man with severe chronic obstructive pulmonary disease (COPD) was treated with CRT for lung cancer. During the treatment, he presented with vomiting and abdominal distention. CT showed pneumatosis from the esophagus to the small intestine. Severe radiation-induced esophagitis was observed, and gastrointestinal endoscopy revealed a circumferential esophageal ulcer. From these observations, this case was diagnosed as PI following severe esophagitis. A nasogastric tube was inserted, and conservative treatment with fasting, fluid replacement, and antibiotic was performed. Four days after the onset of PI, CT showed marked improvement of the pneumatosis. When CRT is performed for lung cancer patients, we should not only consider esophagitis but also PI. The presence of COPD may be considered a specific factor for the development of severe esophagitis and the consequent PI in this case.
format	article
author	Noriaki Ito Takeshi Masuda Kakuhiro Yamaguchi Shinjiro Sakamoto Yasushi Horimasu Taku Nakashima Shintaro Miyamoto Hiroshi Iwamoto Kazunori Fujitaka Hironobu Hamada Noboru Hattori
author_facet	Noriaki Ito Takeshi Masuda Kakuhiro Yamaguchi Shinjiro Sakamoto Yasushi Horimasu Taku Nakashima Shintaro Miyamoto Hiroshi Iwamoto Kazunori Fujitaka Hironobu Hamada Noboru Hattori
author_sort	Noriaki Ito
title	Pneumatosis Intestinalis following Radiation Esophagitis during Chemoradiotherapy for Lung Cancer: A Case Report
title_short	Pneumatosis Intestinalis following Radiation Esophagitis during Chemoradiotherapy for Lung Cancer: A Case Report
title_full	Pneumatosis Intestinalis following Radiation Esophagitis during Chemoradiotherapy for Lung Cancer: A Case Report
title_fullStr	Pneumatosis Intestinalis following Radiation Esophagitis during Chemoradiotherapy for Lung Cancer: A Case Report
title_full_unstemmed	Pneumatosis Intestinalis following Radiation Esophagitis during Chemoradiotherapy for Lung Cancer: A Case Report
title_sort	pneumatosis intestinalis following radiation esophagitis during chemoradiotherapy for lung cancer: a case report
publisher	Karger Publishers
publishDate	2021
url	https://doaj.org/article/948c0defdcd54ef69ae7ff67e36cd18b
work_keys_str_mv	AT noriakiito pneumatosisintestinalisfollowingradiationesophagitisduringchemoradiotherapyforlungcanceracasereport AT takeshimasuda pneumatosisintestinalisfollowingradiationesophagitisduringchemoradiotherapyforlungcanceracasereport AT kakuhiroyamaguchi pneumatosisintestinalisfollowingradiationesophagitisduringchemoradiotherapyforlungcanceracasereport AT shinjirosakamoto pneumatosisintestinalisfollowingradiationesophagitisduringchemoradiotherapyforlungcanceracasereport AT yasushihorimasu pneumatosisintestinalisfollowingradiationesophagitisduringchemoradiotherapyforlungcanceracasereport AT takunakashima pneumatosisintestinalisfollowingradiationesophagitisduringchemoradiotherapyforlungcanceracasereport AT shintaromiyamoto pneumatosisintestinalisfollowingradiationesophagitisduringchemoradiotherapyforlungcanceracasereport AT hiroshiiwamoto pneumatosisintestinalisfollowingradiationesophagitisduringchemoradiotherapyforlungcanceracasereport AT kazunorifujitaka pneumatosisintestinalisfollowingradiationesophagitisduringchemoradiotherapyforlungcanceracasereport AT hironobuhamada pneumatosisintestinalisfollowingradiationesophagitisduringchemoradiotherapyforlungcanceracasereport AT noboruhattori pneumatosisintestinalisfollowingradiationesophagitisduringchemoradiotherapyforlungcanceracasereport
_version_	1718439149583728640

Pneumatosis Intestinalis following Radiation Esophagitis during Chemoradiotherapy for Lung Cancer: A Case Report

Ejemplares similares