Neutropenic enterocolitis: Difference between revisions
m (Rossdonaldson1 moved page Neutropenic Enterocolitis (Typhlitis) to Neutropenic enterocolitis (typhlitis)) |
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**May progress to full-thickness infarction/perforation | **May progress to full-thickness infarction/perforation | ||
*Occurs 10-14d after cytotoxic therapy | *Occurs 10-14d after cytotoxic therapy | ||
==Clinical Presentation== | |||
*Fever | |||
*RLQ pain | |||
*Nausea | |||
*Vomiting | |||
==Differential Diagnosis== | |||
==Diagnosis== | ==Diagnosis== | ||
===Workup=== | |||
==Workup== | |||
CT A/P: cecal distention and wall thickening | CT A/P: cecal distention and wall thickening | ||
| Line 21: | Line 24: | ||
==Disposition== | ==Disposition== | ||
* | *Surgial consult (poss right hemicolectomy) | ||
[[Category:GI]] | [[Category:GI]] | ||
[[Category:ID]] | [[Category:ID]] | ||
Revision as of 17:57, 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
Clinical Presentation
- Fever
- RLQ pain
- Nausea
- Vomiting
Differential Diagnosis
Diagnosis
Workup
CT A/P: cecal distention and wall thickening
Treatment
- Bowel rest
- NG suction
- IVF
- Broad spec abx
Disposition
- Surgial consult (poss right hemicolectomy)