@article{oai:air.repo.nii.ac.jp:00002096, author = {矢野, 道広 and 深谷, 博志 and 平井, 大士 and 高橋, 勉 and 小泉, ひろみ and Yano, Michihiro and Fukaya, Hiroshi and Hirai, Daishi and Takahashi, Tsutomu and Koizumi, Hiromi}, issue = {1}, journal = {秋田医学}, month = {Jun}, note = {Pneumatosis cystoides intestinalis( PCI) is a relatively rare condition characterized by the presence of multiple deposits of intramural gases in the gastrointestinal tract. Although there are many reports that PCI has occurred in various diseases, the mechanism underlying the development of PCI is unclear. In the field of hematological malignancy, it is thought that both steroids and anti-neoplastic agents are important causes of PCI. When these agents have undesirable effectson a patient, they must be discontinued. We herein report a case of PCI, followed by a pancreaticpseudocyst, in a pediatric patient with acute lymphoblastic leukemia( ALL). The serious condition of his PCI was improved by conservative medical management. Two agents, prednisolone and L-asparaginase, were considered to have caused his PCI and pancreatic pseudocyst.  Therefore, surrogate chemotherapies which did not contain these two agents were administered for two years. He has been in remission for 79 months after completion of therapy, with no treatment-related complications. In the treatment of ALL, which uses steroids abundantly, caution should be exercised to avoid the development of PCI.}, pages = {35--39}, title = {小児急性リンパ性白血病に合併した腸管嚢胞性気腫症と膵仮性嚢胞}, volume = {40}, year = {2013} }