Free air intraperitoneally during chemotherapy for acute lymphoblastic leukemia: consider pneumatosis cystoides intestinalis.

@article{Groninger2010FreeAI,
  title={Free air intraperitoneally during chemotherapy for acute lymphoblastic leukemia: consider pneumatosis cystoides intestinalis.},
  author={Ellis Groninger and J B F Hulscher and Bert Timmer and Rienk Yde Johan Tamminga and Paul M. A. Broens},
  journal={Journal of pediatric hematology/oncology},
  year={2010},
  volume={32 2},
  pages={141-3}
}
Intraperitoneal free air in a child with acute lymphoblastic leukemia (ALL) treated with induction chemotherapy is an ominous sign suspective of gastrointestinal perforation. We report a case of pneumatosis cystoides intestinalis (PCI) with free intraperitoneal air without bowel perforation in a child with Down syndrome during ALL induction treatment. PCI is a physical sign characterized by gas-filled cysts of the submucosa or subserosa of the bowel that can lead to pneumoperitoneum. Clinical… CONTINUE READING