Neutropenic enterocolitis
Revision as of 12:13, 14 March 2011 by Rossdonaldson1 (talk | contribs)
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%