A case of pneumoperitoneum and retropneumoperitoneum without bowel perforation due to extensive intestinal necrosis as a complication to chemotherapy: CT evaluation.

Acute intestinal ischemia continues to be a challenging diagnostic problem with high mortality. We describe a rare case of acute intestinal necrosis, due to vasculitis, related with chemotherapy. A patient was examined in our emergency department, presenting with abdominal pain. Three months before he had undergone an operation for lung carcinoma (lobectomy) and received chemotherapy. CT of the abdomen demonstrated free air in 10 different locations: hepatic part of the portal vein, branches of mesenteric veins, femoral and iliac veins, the bowel wall, peritoneal cavity and retroperitoneal space, abdominal muscles, inguinal canals, meso-sigmoid space, and in the para-rectal space. Moreover, pathological findings revealed that the free air in the peritoneum and retropneumoperitoneum occurred without intestinal perforation, but with transudation through the necrotic bowel wall. This is a rare complication of chemotherapy. This case refers to the unusual CT findings which appeared in this patient. The key to a better outcome is early diagnosis of this condition and the CT examination of the abdomen plays an important role.

Postactivation potentiation effects after heavy resistance exercise on running speed.

The purpose of this study was to investigate the postactivation potentiation effect after a heavy resistance stimulus (HRS) on running speed (RS). Fifteen amateur team game players (basketball, volleyball, handball, and soccer players), ages 18-23 years running the 30-m dash and the intermediate phase of 0-10 and 0-30 m sprints, were used to evaluate RS. Resistance training consisted of 10 single repetitions at 90% of 1 repetition maximum. The running tests were performed 3 times--(a) 3 minutes prior the HRS, (b) 3 minutes after the HRS, and (c) 5 minutes after the HRS--in separated training sessions. Results showed that RS was not affected 3 minutes after the resistance training, but it increased for both selected running phases (0-10 and 0-30 m) 5 minutes after the HRS (p < 0.05). These findings indicate that heavy resistance exercise improves 10- and 30-m sprint performance when performed 5 minutes after the exercise bout.