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Logo of bmjcrInstructions for authorsCurrent ToCBMJ Case Reports
 
BMJ Case Rep. 2010; 2010: bcr0520103033.
Published online Oct 21, 2010. doi:  10.1136/bcr.05.2010.3033
PMCID: PMC3027501
Unusual association of diseases/symptoms
Graft-versus-host disease
Joel A Newman,1 Sophie Candfield,1 David Howlett,2 Paula McKenzie,2 and Satyajit Sahu1
1Department of Haematology, Eastbourne District General Hospital, Eastbourne, UK
2Department of Radiology, Eastbourne District General Hospital, Eastbourne, UK
Correspondence to Joel A Newman, joel.newman/at/nhs.net
Abstract
This article presents the case of a 26-year-old man who was diagnosed with pneumatosis cystoides intestinalis, a rare consequence of colonic graft-versus-host disease, after CT imaging revealed free air tracking within the bowel wall and abdomen. His presentation with hiccups, abdominal and neck distension, along with diarrhoea was also unusual, and this case highlights the need for a high index of suspicion when treating post stem cell transplant patients.
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