Neutropenic enterocolitis: Difference between revisions
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== | ==Background== | ||
Necrosis of bowel wall 2/2 | *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== | ==Diagnosis== | ||
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#Nausea | #Nausea | ||
#Vomiting | #Vomiting | ||
==Workup== | ==Workup== | ||
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==Disposition== | ==Disposition== | ||
*Sx consult (poss right hemicolectomy) | |||
[[Category:GI]] | [[Category:GI]] | ||
[[Category:ID]] | [[Category:ID]] | ||
Revision as of 06:49, 30 June 2011
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)