Neutropenic enterocolitis (typhlitis): Difference between revisions
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Revision as of 17:56, 1 May 2015
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
- Fever
- RLQ pain
- Nausea
- Vomiting
Workup
CT A/P: cecal distention and wall thickening
Treatment
- Bowel rest
- NG suction
- IVF
- Broad spec abx
Disposition
- Sx consult (poss right hemicolectomy)