Neutropenic enterocolitis

Revision as of 06:49, 30 June 2011 by Jswartz (talk | contribs)

Background

  • Necrosis of bowel wall 2/2 polymicrobial invasion
    • Involves terminal ileum and colon
    • May progress to full-thickness infarction/perforation
  • Occurs 10-14d after cytotoxic therapy

Diagnosis

  1. Fever
  2. RLQ pain
  3. Nausea
  4. Vomiting

Workup

CT A/P: cecal distention and wall thickening

Treatment

  1. Bowel rest
  2. NG suction
  3. IVF
  4. Broad spec abx

Disposition

  • Sx consult (poss right hemicolectomy)
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