Neutropaenic enterocolitis

Case contributed by Dr Jan Frank Gerstenmaier

Presentation

This patient had received induction chemotherapy with cytarabine and daunorubicine for acute myeolid leukaemia. He developed abdominal pain, diarrhoea and fever. The neutrophil count was 200 cells/microliter (normal >1,500 cells/microliter)

Patient Data

Age: 65
Gender: Male
CT

CT abdomen with oral and intravenous contrast

The cecum, right colon, transverse colon and left colon as well as the distal 30cm or so of the ileum are thick walled and oedemtous. The sigmoid colon is spared. No obstruction or megacolon. No perforation or abscess. No lymphadenopathy.

Case Discussion

A combination of localised and systemic symptoms is typical for neutropaenic enterocolitis. The right colon is most commonly affected, but in the neutropaenic patient, this condition should be considered even if only small bowel is involved.

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Case information

rID: 22250
Case created: 22nd Mar 2013
Last edited: 20th Feb 2016
Inclusion in quiz mode: Included

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