• PDF / 141,337 Bytes
• 1 Pages / 595.245 x 841.846 pts (A4) Page_size
• 44 Downloads / 167 Views

DOWNLOAD

REPORT

---

1

S

Portal pneumatosis and rectal mucositis in an elderly patient: case report A 73-year-old man developed portal pneumatosis and rectal mucositis following chemoradiotherapy with capecitabine and oxaliplatin [durations of treatment not stated]. The man presented with abdominal pain, fever, diarrhoea and tenesmus after completing chemoradiotherapy. Ten days earlier, he was treated for advanced rectal cancer with IV oxaliplatin 60 mg/m2 [frequency not stated] and capecitabine 825 mg/m2 twice daily [route not stated], together with radiotherapy. On presentation, he was hypotensive and tachycardic, while tests revealed leucopenia and elevated inflammatory markers. CT scan revealed acute inflammation at the recto-sigmoid junction and gas in the portal venous circulation. The man was admitted to the ICU, and received antibacterials. He then underwent a loop ileostomy for faecal diversion. He clinically recovered, with a CT scan revealing resolution of the abnormality 2 months later. He subsequently underwent an elective low anterior resection. Arredondo J, et al. Portal pneumatosis as a complication of neoadjuvant chemoradiotherapy for rectal cancer: A case report. Colorectal Disease 13: e383-e384, No. 11, Nov 2011. Available from: URL: http://dx.doi.org/10.1111/ 803064371 j.1463-1318.2011.02690.x - Spain

0114-9954/10/1382-0001/$14.95 © 2010 Adis Data Information BV. All rights reserved

Reactions 17 Dec 2011 No. 1382