Neutropenic enterocolitis
Revision as of 17:57, 1 May 2015 by Rossdonaldson1 (talk | contribs)
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)