PNEUMATOSIS CYSTOIDES INTESTINALIS DURING THE TREATMENT WITH PACLITAXEL FOR METASTATIC OVARIAN CANCER
Abstract
Gas within the bowel wall can be an incidental finding in Computed Tomography (CT) exams, with
increased frequency in oncological patients. Pneumatosis cystoides intestinalis (PCI) is an unusual
subtype of this condition which mainly affects the colon, and which is characterized by circular air
collections in the bowel wall. We report a case of a 74-year-old woman treated with Paclitaxel for
metastatic ovarian cancer, in which a restaging CT scan showed PCI involving the right colon with
microperforation. Subsequent CT performed after changing the therapeutic regimen showed a
reduction in these findings. In oncological patients, PCI can be an incidental finding and can be
safely managed conservatively
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