转移性结肠癌中的暴发性腹部气性坏疽
Fulminant abdominal gas gangrene in metastatic colon cancer.
作者信息
Bozkurt Mustafa, Okutur Kerem, Aydin Kübra, Namal Esat, Oztürk Akin, Balci Cem, Demir Gökhan
机构信息
Department of Medical Oncology, Istanbul Bilim University School of Medicine, Istanbul, Turkey.
出版信息
Oncol Lett. 2012 Feb;3(2):469-471. doi: 10.3892/ol.2011.485. Epub 2011 Nov 16.
Abstract
We report a case of fulminant abdominal gas gangrene in a patient with metastatic colon cancer. A 39-year-old patient with descending colon, high-grade adenocarcinoma and coexisting liver and lymph node metastases received two courses of chemotherapy. The patient developed sudden acute abdominal symptoms accompanied by septic shock parameters. The imaging findings on computed tomography were characteristic for abdominal gas gangrene, involving liver metastases, portal vein and lymph nodes with associated pneumoperitoneum. The patient succumbed to the disease within hours following the onset of symptoms.
摘要
我们报告一例转移性结肠癌患者发生暴发性腹部气性坏疽的病例。一名39岁患有降结肠高级别腺癌且伴有肝和淋巴结转移的患者接受了两个疗程的化疗。该患者突然出现急性腹部症状，并伴有感染性休克指标。计算机断层扫描的影像学表现为腹部气性坏疽的特征，累及肝转移灶、门静脉和淋巴结，并伴有气腹。患者在症状出现后数小时内死亡。
相似文献
1
Fulminant abdominal gas gangrene in metastatic colon cancer.转移性结肠癌中的暴发性腹部气性坏疽
Oncol Lett. 2012 Feb;3(2):469-471. doi: 10.3892/ol.2011.485. Epub 2011 Nov 16.
2
Cardiac arrest that developed during anesthetic induction in a patient with abdominal gas gangrene: A case report.一名患有腹部气性坏疽的患者在麻醉诱导期间发生心脏骤停：病例报告。
Korean J Anesthesiol. 2009 Jul;57(1):127-131. doi: 10.4097/kjae.2009.57.1.127.
3
Fulminant massive gas gangrene caused by Clostridium perfringens.由产气荚膜梭菌引起的暴发性大面积气性坏疽。
Intern Med. 2005 May;44(5):499-502. doi: 10.2169/internalmedicine.44.499.
4
Perforation of descending colonic cancer as a rare cause of gas gangrene of the lower limb in an 80-year-old female: a case report.降结肠癌穿孔作为一名80岁女性下肢气性坏疽的罕见病因：一例报告
J Surg Case Rep. 2024 Apr 9;2024(4):rjae033. doi: 10.1093/jscr/rjae033. eCollection 2024 Apr.
5
Metachronous metastasis to inguinal lymph nodes from sigmoid colon adenocarcinoma with abdominal wall metastasis: a case report.乙状结肠癌伴腹壁转移术后同期发生腹股沟淋巴结转移 1 例报告
BMC Cancer. 2019 Feb 27;19(1):180. doi: 10.1186/s12885-019-5386-x.
6
Successful resection of metachronous para-aortic, Virchow lymph node and liver metastatic recurrence of rectal cancer.成功切除直肠癌异时性主动脉旁、魏尔啸淋巴结及肝转移复发灶。
World J Gastroenterol. 2015 Nov 28;21(44):12722-8. doi: 10.3748/wjg.v21.i44.12722.
7
Response to Modified TEGAFIRI in a Patient with Synchronous Multiple Liver Metastases of Colon Cancer.一名患有同步性结肠癌多发肝转移患者对改良TEGAFIRI的反应
Case Rep Gastroenterol. 2011 Jan;5(1):95-9. doi: 10.1159/000324399. Epub 2011 Feb 5.
8
Incidental abdominal lymph node metastases from a known breast cancer in resected specimen of invasive pancreatic ductal adenocarcinoma: report of a case.在浸润性胰腺导管腺癌切除标本中发现已知乳腺癌的偶然腹部淋巴结转移：病例报告
Int Cancer Conf J. 2019 Jul 3;8(4):190-194. doi: 10.1007/s13691-019-00382-6. eCollection 2019 Oct.
9
Mixed adenoneuroendocrine carcinoma of the liver: A rare case report.肝混合性腺神经内分泌癌：一例罕见病例报告。
Mol Clin Oncol. 2020 Feb;12(2):148-154. doi: 10.3892/mco.2019.1962. Epub 2019 Dec 6.
10
A case of nontraumatic clostridial gas gangrene occurring in a patient with colon adenocarcinoma, liver cirrhosis, and diabetes mellitus.一名患有结肠腺癌、肝硬化和糖尿病的患者发生非创伤性梭菌性气性坏疽的病例。
Acta Pathol Jpn. 1986 May;36(5):757-64. doi: 10.1111/j.1440-1827.1986.tb01063.x.
引用本文的文献
1
Clinical characteristic analysis of 25 cases of hepatic portal venous gas.25例肝门静脉积气的临床特征分析
Front Surg. 2025 Aug 20;12:1619587. doi: 10.3389/fsurg.2025.1619587. eCollection 2025.
2
Chemotherapy-associated pneumoperitoneum in cancer patients: a scoping review.癌症患者化疗相关气腹：一项范围综述
Ann Med Surg (Lond). 2024 Mar 25;86(5):2828-2835. doi: 10.1097/MS9.0000000000001998. eCollection 2024 May.
3
Hepatic portal venous gas initially manifesting as severe shock: a case series.肝门静脉积气首先表现为严重休克：病例系列。
J Int Med Res. 2024 Apr;52(4):3000605241239469. doi: 10.1177/03000605241239469.
本文引用的文献
1
Spontaneous intrahepatic gas gangrene and fatal septic shock.自发性肝内气体坏疽与致死性感染性休克。
Acta Chir Belg. 2009 May-Jun;109(3):400-4. doi: 10.1080/00015458.2009.11680447.
2
Portal venous gas following chemotherapy for colorectal cancer liver metastasis.
Eur J Surg Oncol. 2009 May;35(5):557-60. doi: 10.1016/j.ejso.2008.09.003. Epub 2008 Oct 31.
3
Radiofrequency ablation of a liver metastasis complicated by extensive liver necrosis and sepsis caused by gas gangrene.肝转移瘤的射频消融术并发广泛肝坏死和气性坏疽所致的脓毒症。
Surgery. 2006 Jan;139(1):123-5. doi: 10.1016/j.surg.2005.06.019.
4
Necrotizing enteritis with hepatic portal venous gas and pneumatosis intestinalis: report of a case.伴有肝门静脉积气和肠壁囊样积气的坏死性小肠炎：病例报告
Eur J Gastroenterol Hepatol. 2003 Feb;15(2):201-3. doi: 10.1097/00042737-200302000-00017.
5
Fulminant Clostridium septicum infection of hepatic metastases presenting as pneumoperitoneum.以气腹为表现的肝转移瘤暴发性败血梭菌感染
AJR Am J Roentgenol. 2000 Apr;174(4):962-4. doi: 10.2214/ajr.174.4.1740962.
6
Clostridium septicum abscess in hepatic metastases: successful medical management.
Bone Marrow Transplant. 1994 Apr;13(4):495-6.
7
Ruptured hepatic abscess: a rare cause of spontaneous pneumoperitoneum.肝脓肿破裂：自发性气腹的罕见原因。
Am J Gastroenterol. 1982 Nov;77(11):880-1.
8
Intrahepatic gas: differential diagnosis.
AJR Am J Roentgenol. 1981 Oct;137(4):763-7. doi: 10.2214/ajr.137.4.763.
Zotero 插件