Neutropenic enterocolitis
Revision as of 17:56, 1 May 2015 by Rossdonaldson1 (talk | contribs) (Rossdonaldson1 moved page Neutropenic Enterocolitis (Typhlitis) to Neutropenic enterocolitis (typhlitis))
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)