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[一例去势抵抗性前列腺癌治疗期间的肠气囊肿病例]

[A Case of Pneumatosis Cystoides Intestinalis during Castration-Resistant Prostate Cancer Treatment].

作者信息

Yamaguchi Katsuya, Ishibashi Yukari, Hayashi Yutaro, Onuki Tatsuaki, Suzuki Koutaro

机构信息

The Department of Urology, Nanbu Hospital.

出版信息

Hinyokika Kiyo. 2019 Dec;65(12):523-527. doi: 10.14989/ActaUrolJap_65_12_523.

Abstract

A 65-year-old man received docetaxel for prostate cancer. Eight months later, we observed abdominal free air and pneumatosis cystoides intestinalis by computed tomography. Pneumatosis cystoides intestinalis can be caused by various etiologies. However, in the present case, multiple factors could have contributed and we could not specify the exact cause. We reduced the dose of steroid hormone, stopped docetaxel, and followed the patient conservatively with oral antibiotics. The pneumatosis cystoides intestinalis and free air resolved promptly.

摘要

一名65岁男性因前列腺癌接受多西他赛治疗。八个月后,我们通过计算机断层扫描观察到腹腔内游离气体和肠壁囊样积气。肠壁囊样积气可由多种病因引起。然而,在本病例中,多种因素可能都起到了作用,我们无法明确确切病因。我们减少了类固醇激素的剂量,停用了多西他赛,并口服抗生素对患者进行保守治疗。肠壁囊样积气和游离气体迅速消退。

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