Neutropaenic enteritis

Case contributed by Dr Vikas Shah

Presentation

Aplastic anaemia, recent bone marrow transplant. Vomiting and abdominal pain.

Patient Data

Age: 40 years
Gender: Female
CT

The small bowel, except the duodenum, appears inflamed with mural thickening, mucosal and serosal hyperenhancement and intervening low density due to oedema. The mesentery is congested. The caecum and remainder of the large bowel appear relatively normal. No fluid collections and no perforation. No other abnormalities.

Case Discussion

Small bowel inflammation can occur in the setting of neutropaenia, either primary in bone marrow failure or secondary to chemotherapy. It is more commonly known as neutropaenic enterocolitis, with a form localised to the caecum known as typhlitis

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Case information

rID: 54760
Case created: 27th Jul 2017
Last edited: 20th Nov 2017
Inclusion in quiz mode: Included

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