Emphysematous cholecystitis in a patient with gastrointestinal stromal tumor treated with sunitinib

Gilberto De Lima Lopes, Caio Max Rocha Lima

Research output: Contribution to journalArticle

16 Scopus citations

Abstract

A 50-year-old man had a metastatic gastrointestinal stromal tumor that was refractory to imatinib. He was prescribed a 6-week course of treatment with oral sunitinib 50 mg/day. During the fourth week of his first cycle of treatment with the drug, the patient developed acute-onset, right upper quadrant pain associated with nausea, vomiting, and fever; laboratory tests revealed leukocytosis and mild hyperbilirubinemia. He was diagnosed with acute emphysematous cholecystitis, which was treated with broad-spectrum antibiotics and percutaneous cholecystostomy. His symptoms resolved, and he successfully completed his course of therapy with sunitinib. Using the Naranjo adverse drug reaction probability scale, a score of 5 was derived, which indicates that the likelihood was probable that this adverse event was caused by sunitinib.

Original languageEnglish (US)
Pages (from-to)775-777
Number of pages3
JournalPharmacotherapy
Volume27
Issue number5
DOIs
StatePublished - May 1 2007

Keywords

  • Angiogenesis
  • Emphysematous cholecystitis
  • Gastrointestinal stromal tumor
  • Sunitinib
  • Vascular endothelial growth factor
  • VEGF

ASJC Scopus subject areas

  • Pharmacology (medical)
  • Pharmacology, Toxicology and Pharmaceutics(all)

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