Ischemic Colitis Associated with Paclitaxel and Carboplatin Combination

A 62-year-old white female with a history of early-stage triple-negative breast cancer on a combination of carboplatin and paclitaxel in the adjuvant setting presented with lower gastrointestinal bleeding. She tolerated 4 cycles of dose-dense adriamycin/cyclophosphamide with no major symptoms. After...

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Main Authors: Ahmed Gamal Elsayed, Roma Srivastava, Toni Pacioles, Teresa Limjoco, Maria Tria Tirona
Format: Article
Language:English
Published: Karger Publishers 2017-08-01
Series:Case Reports in Oncology
Subjects:
Online Access:http://www.karger.com/Article/FullText/479226
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author Ahmed Gamal Elsayed
Roma Srivastava
Toni Pacioles
Teresa Limjoco
Maria Tria Tirona
author_facet Ahmed Gamal Elsayed
Roma Srivastava
Toni Pacioles
Teresa Limjoco
Maria Tria Tirona
author_sort Ahmed Gamal Elsayed
collection DOAJ
description A 62-year-old white female with a history of early-stage triple-negative breast cancer on a combination of carboplatin and paclitaxel in the adjuvant setting presented with lower gastrointestinal bleeding. She tolerated 4 cycles of dose-dense adriamycin/cyclophosphamide with no major symptoms. After 6 cycles of weekly paclitaxel in combination with carboplatin every 3 weeks, she presented with diarrhea and lower gastrointestinal bleeding. Colonosopic examination showed erythema and inflammation in the splenic flexure, descending colon, and sigmoid colon consistent with ischemic colitis. Pathology favored the same diagnosis. She was treated conservatively with intravenous fluids and bowel rest. Chemotherapy was held for 2 weeks and resumed after recovery without carboplatin. She was able to tolerate the remaining 6 cycles of paclitaxel with no recurrence of her symptoms.
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spelling doaj.art-c9df270a6e444367bb198bbab280c02d2022-12-21T19:36:27ZengKarger PublishersCase Reports in Oncology1662-65752017-08-0110268969310.1159/000479226479226Ischemic Colitis Associated with Paclitaxel and Carboplatin CombinationAhmed Gamal ElsayedRoma SrivastavaToni PaciolesTeresa LimjocoMaria Tria TironaA 62-year-old white female with a history of early-stage triple-negative breast cancer on a combination of carboplatin and paclitaxel in the adjuvant setting presented with lower gastrointestinal bleeding. She tolerated 4 cycles of dose-dense adriamycin/cyclophosphamide with no major symptoms. After 6 cycles of weekly paclitaxel in combination with carboplatin every 3 weeks, she presented with diarrhea and lower gastrointestinal bleeding. Colonosopic examination showed erythema and inflammation in the splenic flexure, descending colon, and sigmoid colon consistent with ischemic colitis. Pathology favored the same diagnosis. She was treated conservatively with intravenous fluids and bowel rest. Chemotherapy was held for 2 weeks and resumed after recovery without carboplatin. She was able to tolerate the remaining 6 cycles of paclitaxel with no recurrence of her symptoms.http://www.karger.com/Article/FullText/479226Ischemic colitisChemotherapy complicationsPaclitaxelCarboplatin
spellingShingle Ahmed Gamal Elsayed
Roma Srivastava
Toni Pacioles
Teresa Limjoco
Maria Tria Tirona
Ischemic Colitis Associated with Paclitaxel and Carboplatin Combination
Case Reports in Oncology
Ischemic colitis
Chemotherapy complications
Paclitaxel
Carboplatin
title Ischemic Colitis Associated with Paclitaxel and Carboplatin Combination
title_full Ischemic Colitis Associated with Paclitaxel and Carboplatin Combination
title_fullStr Ischemic Colitis Associated with Paclitaxel and Carboplatin Combination
title_full_unstemmed Ischemic Colitis Associated with Paclitaxel and Carboplatin Combination
title_short Ischemic Colitis Associated with Paclitaxel and Carboplatin Combination
title_sort ischemic colitis associated with paclitaxel and carboplatin combination
topic Ischemic colitis
Chemotherapy complications
Paclitaxel
Carboplatin
url http://www.karger.com/Article/FullText/479226
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AT romasrivastava ischemiccolitisassociatedwithpaclitaxelandcarboplatincombination
AT tonipacioles ischemiccolitisassociatedwithpaclitaxelandcarboplatincombination
AT teresalimjoco ischemiccolitisassociatedwithpaclitaxelandcarboplatincombination
AT mariatriatirona ischemiccolitisassociatedwithpaclitaxelandcarboplatincombination