A Rare Complication of Chemotherapy in a 56-Year-Old Patient

Emphysematous Gastritis and Gastric Emphysema: Similar Radiographic Findings, Distinct Clinical Entities

“…Dead (different etiology) Lowe et al [50] Repositioned stent Duodenal perforation by biliary stent migration Alive Badrinath et al [51] No Acute gastric dilatation from druginduced gastritis Alive Hadas-Halpren et al [52] Exploratory laparotomy Acute gastric dilatation Alive Chintapalli [53] No Gastric bezor Alive Low VH et al [54] Total gastrectomy, esophagojejunal anastomosis Acute massive gastric distention Dead Omojola et al [55] No/no/subtotal gastrectomy Obstruction secondary to gastric cancer/ obstruction secondary to gastric cancer/ obstruction secondary to gastric cancer Alive/alive/alive Ulloa Ramirez et al [56] Exploratory laparotomy, lysis of adhesion Small bowel obstruction Alive Millward et al [57] Exploratory laparotomy Colonic infarction NA Sproat et al [58] No Balloon dilation of esophageal stenosis Dead (different etiology) Soon et al [59] No Biliary stenting and duodenal obstruction Dead (different etiology) Zenooz et al [60] Lysis of adhesion Gastric distension from small bowel obstruction Alive Kalina M, et al [61] No Gastric distension Alive Moon SW, et al [62] No Methyl ethyl ketone peroxide ingestion Dead Barbour et al [63] No Unknown Alive Chou et al [64] No Nausea, vomiting, mucosal damage by chemo therapy? Alive Muthukumarasamy, G et al [7] No Gastric outlet obstruction Dead (different etiology) Reuter et al [65] No Distension of the stomach during CPR NA Hyun et al [66] No Endoscopic submucosal dissection Alive Chang et al [67] No Increased gastric intraluminal pressure Dead (different etiology) Cherian et al [68] No Diabetic gastroparesis, vomiting Alive Majumder et al [8] No Retching, vomiting Alive Kerschaever et al [69] No Incarcerated stomach in inguinal hernia Alive Ilyas et al [70] Parastomal hernia repair Incarcerated stomach in parastomal hernia Alive including nausea, vomiting, epigastric abdominal pain, distension, or tenderness without evidence of peritonitis and is found by plain film or CT scan to have evidence of intramural air in stomach.…”

Gastric pneumatosis: An unexpected complication in multiple myeloma patient

“…Our patient had several risk factors for gastric pneumatosis including chemotherapy, high dose corticosteroids, and infection specifically fungemia [33].…”

Gastric Emphysema a Spectrum of Pneumatosis Intestinalis: A Case Report and Literature Review

“…Most frequently reported cases follow an acute- subacute course [5, 16, 17, 23] and findings at physical examination rarely support the diagnosis [3]. …”

“…That being said we can include chronic pulmonary obstructive disease, polymyositis, perforated appendicitis, small bowel volvulus, intestinal infarction, gangrenous cholecystitis, superior mesenteric artery syndrome, cholangiocarcinoma, parastomal hernia, and multiple episodes of vomiting. In relation to drug related background, it has been linked to chemotherapy agents such as cyclophosphamide, adriamycin, and vincristine, in addition to high doses of dexamethasone in one case report [ 5 , 17 – 23 ].…”

“…Clinical manifestations are usually nonspecific, presenting with nausea, vomit occasionally resistant to antiemetics, mild to severe abdominal pain, abdominal distension, haematemesis, or melena; presentation as an acute abdomen is rare [ 2 ]. Most frequently reported cases follow an acute- subacute course [ 5 , 16 , 17 , 23 ] and findings at physical examination rarely support the diagnosis [ 3 ].…”