Bilici A, Karadag B, Doventas A, Seker M. Gastric pneumatosis intestinalis associated with malignancy: An unusual case report. World J Gastroenterol 2009; 15(6): 758-760 [PMID: 19222105 DOI: 10.3748/wjg.15.758]
Corresponding Author of This Article
Ahmet Bilici, MD, Department of Medical Oncology, Menderes mh. 23.sok.Caglar Apt. No. 16/1, Esenler, 34210 Istanbul, Turkey. drknower@hotmail.com
Article-Type of This Article
Case Report
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World J Gastroenterol. Feb 14, 2009; 15(6): 758-760 Published online Feb 14, 2009. doi: 10.3748/wjg.15.758
Gastric pneumatosis intestinalis associated with malignancy: An unusual case report
Ahmet Bilici, Berrin Karadag, Alper Doventas, Mesut Seker
Ahmet Bilici, Mesut Seker, Department of Medical Oncology, Dr.Lutfi Kirdar Kartal Education and Research Hospital, Kartal, 34210 Istanbul, Turkey
Berrin Karadag, Department of Internal Medicine, Sisli Etfal Education and Research Hospital, 34210 Istanbul, Turkey
Alper Doventas, Department of Internal Medicine, Istanbul Education and Research Hospital, 34210 Istanbul, Turkey
Author contributions: Bilici A, Doventas A and Karadag B designed the work; Bilici A wrote the paper; Bilici A and Karadag B followed up the patient; Bilici A and Seker M reviewed the article.
Correspondence to: Ahmet Bilici, MD, Department of Medical Oncology, Menderes mh. 23.sok.Caglar Apt. No. 16/1, Esenler, 34210 Istanbul, Turkey. drknower@hotmail.com
Telephone: +90-505-7988132
Fax: +90-216-4232134
Received: June 22, 2008 Revised: December 30, 2008 Accepted: January 7, 2009 Published online: February 14, 2009
Abstract
Pneumatosis intestinalis (PI) is an uncommon disease defined as gas-filled cysts that are found in the wall of the gastrointestinal (GI) tract. The exact causes of PI are still unclear, but it may associated with coexisting diseases, such as some GI disorders, connective tissue disease, some medication and drugs, and rarely malignancy. The most common localization is the small intestine. Gastric PI secondary to malignancy has been rarely documented. We report on a 94-year-old man with gastric PI associated with inoperable adenocarcinoma localized in the duodenum. Following the gastrojejunostomy and choledochojejunostomy bypass, his general condition improved and PI disappeared, but he died due to poor performance status and malignancy 6 mo later. We suggest that in patients presenting with PI, malignancy should be considered in the differential diagnosis.
