Neutropenic enterocolitis

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

1. Fever
2. RLQ pain
3. Nausea
4. Vomiting

Workup

CT A/P: cecal distention and wall thickening

Treatment

1. Bowel rest
2. NG suction
3. IVF
4. Broad spec abx

Disposition

• Sx consult (poss right hemicolectomy)