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Perforation of enteric duplication during chemotherapy for osteosarcoma
Author(s) -
Morishima Tatsuya,
Kato Itaru,
Umeda Katsutsugu,
Hiramatsu Hidefumi,
Okamoto Shinya,
Furuta Akihiro,
Nakamata Takeharu,
Adachi Souichi,
Heike Toshio,
Watanabe Kenichiro
Publication year - 2014
Publication title -
pediatrics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1111/ped.12251
Subject(s) - medicine , perforation , chemotherapy , lesion , abdominal pain , surgery , diverticulum (mollusc) , osteosarcoma , radiology , pathology , materials science , punching , metallurgy
A 9‐year‐old boy undergoing chemotherapy for conventional osteosarcoma complained of severe abdominal pain associated with rebound tenderness and muscular defense. Abdominal computed tomography indicated intraperitoneal free air. On surgical investigation, a diverticulum‐like lesion, perforated at the base, was found on the sidewall of the ileum. The anatomic location of the lesion was indicative of enteric duplication. Although the frequency of complications is very rare, perforations of the digestive tract should be considered in patients suffering severe abdominal pain while receiving chemotherapy.