Neutropenic enterocolitis: Difference between revisions
(Created page with "==Definition== Necrosis of bowel wall 2/2 microbial invasion ==Pathophysiology== Usually involves the CECUM Typically occurs 10-14d after cytotoxic therapy ==Si/Sy=...") |
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==Definition== | ==Definition== | ||
Necrosis of bowel wall 2/2 microbial invasion | Necrosis of bowel wall 2/2 microbial invasion | ||
==Pathophysiology== | ==Pathophysiology== | ||
#Usually involves the CECUM | |||
#Typically occurs 10-14d after cytotoxic therapy | |||
==Diagnosis== | |||
#Fever | |||
#RLQ pain | |||
#Nausea | |||
#Vomiting | |||
#(mimics appy) | |||
==Workup== | |||
== | |||
CT A/P: cecal distention and wall thickening | CT A/P: cecal distention and wall thickening | ||
==Treatment== | ==Treatment== | ||
#Bowel rest | |||
#NG suction | |||
Bowel rest | #IVF | ||
#Broad spec abx | |||
NG suction | |||
IVF | |||
Broad spec abx | |||
==Disposition== | ==Disposition== | ||
Surgical consultation (right hemicolectomy) | Surgical consultation (right hemicolectomy) | ||
==Prognosis== | ==Prognosis== | ||
Mortality 50% | Mortality 50% | ||
[[Category:GI]] | [[Category:GI]] | ||
Revision as of 12:13, 14 March 2011
Definition
Necrosis of bowel wall 2/2 microbial invasion
Pathophysiology
- Usually involves the CECUM
- Typically occurs 10-14d after cytotoxic therapy
Diagnosis
- Fever
- RLQ pain
- Nausea
- Vomiting
- (mimics appy)
Workup
CT A/P: cecal distention and wall thickening
Treatment
- Bowel rest
- NG suction
- IVF
- Broad spec abx
Disposition
Surgical consultation (right hemicolectomy)
Prognosis
Mortality 50%