PMC8693778_01
(a) Abdominal x-rays showing IP; (b) coronal CT scan with PRP (arrows); (c) sagittal CT scan showing pneumomediastinum (arrowhead), PRP (arrow), and IP (empty arrows).
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F1
Abdominal x-rays and computed tomography (CT) scan showed marked bowel loops distention, massive IP, PRP, and pneumomediastinum (Figure 1).
Consecutive abdominal x-rays [(a) day 1; (b) day 3; (c) day 5; (d) day 11] showing progressive reduction of intestinal pneumatosis. Clinical conditions remained fair during the whole period.
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F2
After an initial increase of both IP and PRP, imaging findings progressively returned to normal within 12 days (Figure 2).
Timeline with relevant data from the episode of care.
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F3
The patient did not require abdominal surgery and is alive at 6 months of follow-up; however, despite several lines of immunosuppressive therapy, he still presents recurrent flare of GI GVHD (Figure 3).